Abdul-Aziz Seidu1, John Elvis Hagan2,3, Wonder Agbemavi4, Bright Opoku Ahinkorah5, Edmond Banafo Nartey6, Eugene Budu4, Francis Sambah2, Thomas Schack3. 1. Department of Population and Health, University of Cape Coast, Cape Coast, Ghana. abdul-aziz.seidu@stu.ucc.edu.gh. 2. Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana. 3. Neurocognition and Action-Biomechanics Research Group, Faculty of Psychology and Sport Sciences, Bielefeld University, Bielefeld, Germany. 4. Department of Population and Health, University of Cape Coast, Cape Coast, Ghana. 5. The Australian Centre for Public and Population Health Research (ACPPHR), Faculty of Health, University of Technology Sydney, Ultimo, Australia. 6. Ghana Health Service, Abura Dunkwa Health Directorate, Abura Dunkwa, Ghana.
Abstract
BACKGROUND: The increasing rate of caesarean deliveries (CD) has become a serious concern for public health experts globally. Despite this health concern, research on factors associated CD in many low- and -middle countries like Ghana is sparse. This study, therefore, assessed the prevalence and determinants of CD among child-bearing women aged 15-49 in Ghana. METHODS: The study used data from the 2014 Ghana Demographic and Health Survey. The analysis was limited to mothers (n = 2742) aged 15-49 , who had given birth in health facilities 5 years preceding the survey. Association between CD and its determinants was assessed by calculating adjusted odds ratios (AOR) with their respective 95% confidence intervals using a binary logistic regression. RESULTS: The percentage of mothers who delivered their babies through caesarean section (CS) was 18.5%. Using multivariable logistic regression, the results showed that women aged 45-49 (AOR = 10.5; 95% CI: 3.0-37.4), and women from a household that are headed by a female (AOR = 1.3; 95% CI = 1.1-1.7) had higher odds to deliver through CS. Women from the Upper East (AOR =0.4; 95% CI = 0.2-0.7) and Upper West (AOR = 0.4; 95% CI = 0.2-0.8) regions had lower odds to deliver their children through CS. Women with parity 4 or more (AOR = 0.3; 95% CI = 0.2-0.5) had lower odds of CD compared to those with parity 1. Women with female babies had lower odds (AOR = 0.8; CI = 0.7-0.9) of delivering them through CS compared to those with male children. CONCLUSION: The percentage of women delivering babies through the CS in Ghana is high. The high rates of CD noted do not essentially indicate good quality care or services. Hence, health facilities offering this medical protocol need to adopt comprehensive and strict measures to ensure detailed medical justifications by doctors for performing these caesarean surgeries.
BACKGROUND: The increasing rate of caesarean deliveries (CD) has become a serious concern for public health experts globally. Despite this health concern, research on factors associated CD in many low- and -middle countries like Ghana is sparse. This study, therefore, assessed the prevalence and determinants of CD among child-bearing women aged 15-49 in Ghana. METHODS: The study used data from the 2014 Ghana Demographic and Health Survey. The analysis was limited to mothers (n = 2742) aged 15-49 , who had given birth in health facilities 5 years preceding the survey. Association between CD and its determinants was assessed by calculating adjusted odds ratios (AOR) with their respective 95% confidence intervals using a binary logistic regression. RESULTS: The percentage of mothers who delivered their babies through caesarean section (CS) was 18.5%. Using multivariable logistic regression, the results showed that women aged 45-49 (AOR = 10.5; 95% CI: 3.0-37.4), and women from a household that are headed by a female (AOR = 1.3; 95% CI = 1.1-1.7) had higher odds to deliver through CS. Women from the Upper East (AOR =0.4; 95% CI = 0.2-0.7) and Upper West (AOR = 0.4; 95% CI = 0.2-0.8) regions had lower odds to deliver their children through CS. Women with parity 4 or more (AOR = 0.3; 95% CI = 0.2-0.5) had lower odds of CD compared to those with parity 1. Women with female babies had lower odds (AOR = 0.8; CI = 0.7-0.9) of delivering them through CS compared to those with male children. CONCLUSION: The percentage of women delivering babies through the CS in Ghana is high. The high rates of CD noted do not essentially indicate good quality care or services. Hence, health facilities offering this medical protocol need to adopt comprehensive and strict measures to ensure detailed medical justifications by doctors for performing these caesarean surgeries.
Entities:
Keywords:
Caesarean; Delivery; Ghana; Obstetric; Women
Authors: Wisdom Klutse Azanu; Joseph Osarfo; Roderick Emil Larsen-Reindorf; Evans Kofi Agbeno; Edward Dassah; Anthony Ofori Amanfo; Anthony Kwame Dah; Gifty Ampofo Journal: PLoS One Date: 2022-05-25 Impact factor: 3.752
Authors: Pranta Das; Nandeeta Samad; Hasan Al Banna; Temitayo Eniola Sodunke; John Elvis Hagan; Bright Opoku Ahinkorah; Abdul-Aziz Seidu Journal: Contracept Reprod Med Date: 2021-04-01