Magnitude of Maternal Complication and Associated Factors among Mothers Undergone Cesarean Section at Yirgalem General Hospital, SNNPR, Ethiopia
Journal Title: International Journal of Health Sciences and Research - Year 2017, Vol 7, Issue 5
Abstract
Background: Cesarean section is a major surgical procedure in obstetrics worldwide. It saves the life of the mother as well as the fetus by use of advanced technique, use of antibiotics and blood transfusion. However, its complications during and after cesarean section pose higher maternal morbidity and mortality compared to other modes of deliveries in many developed and developing countries. Maternal complications during and after cesarean sections and associated factors at Yirgalem General Hospital was not studied. Objective: To assess magnitude of maternal complications and associated factors among mothers undergone cesarean section at Yirgalem General Hospital, Southern Nation Nationalities Peoples Region. Methods: Institution based cross-sectional study was conducted by reviewing charts of 469 mother who were operated by cesarean section from July 8/2013 to July 7/2015. The sample was estimated based on specified assumptions and by using Epi Info. Data were collected by 2nd year Integrated Emergency Surgical Officers (IESO) from September 1-20/2015.and were analyzed using SPSS version 20.0. Both bivariate and multivariable analysis was carried out to identify factors associated maternal complications. Results: The overall maternal complication rate was 30.1 % (95%CI 25.9%-34.1%). Living in rural setting (AOR=3.37, 95% CI:1.68,6.77); maternal age 20-34 years (AOR= 3.98, 95% CI:1.64,9.67); mothers referred from other institutions (AOR= 2.23, 95%,CI: 1.37,3.65); multi gravid (AOR= 4.99, 95%CI: 2.75, 9.13); grand multi gravid (AOR= 21.03, 95%CI: 9.30,47.50 ), have no history of ANC follow up (AOR=3.19,95%CI:1.79,5.65) and operation done with general anesthesia (AOR=2.811,95%CI:1.73,4.57) were found to be significantly associated with maternal complication. Conclusions: Maternal complication was found to be high. Living in rural setting, maternal age 20-34 years and use of general anesthesia were associated with high maternal complication. Use of appropriate anesthesia will reduce the occurrence of complications.
Authors and Affiliations
Tsigereda Tesfaye
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