ArticleReproductive health2016
Factors leading to cesarean section delivery at Felegehiwot referral hospital, Northwest Ethiopia: a retrospective record review.
Article in Reproductive health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.
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Who cites it
45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 112 citations in OpenAlex.
- Global Preferences and Determinant Variables of Caesarean Delivery Among Pregnant Women:Sultan Qaboos University medical journal · 2025Pooled it
- Determinants of meconium-stained amniotic fluid among laboring mother in Ethiopia, systematic review and meta-analysis.Frontiers in global women's health · 2024Pooled it
- Obstructed labor and its effect on adverse maternal and fetal outcomes in Ethiopia: A systematic review and meta-analysis.PloS one · 2022Pooled it
- Second stage versus first stage intrapartum cesarean delivery and adverse maternal and perinatal outcomes in Southern Ethiopia.BMC pregnancy and childbirth · 2026Article
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- Adverse Maternal Outcomes of Cesarean Section: Prevalence, Complications, and Predictors Among Mothers Who Underwent Cesarean Delivery at Yirgalem General Hospital, Sidama Region, Ethiopia - A Cross-Sectional Study.Health services insights · 2026Article
- Prevalence and associated factors of caesarean section delivery: analysis from the Nepal Demographic and Health Survey 2022.BMJ open · 2025Article
- Can a theory-based intervention lead primiparous women to decide to have a normal vaginal delivery? A randomized controlled trial.Journal of education and health promotion · 2025Article
- Cesarean delivery and its determining factors: A hospital-based study in Jashore District, Bangladesh.Public health in practice (Oxford, England) · 2024Article
- Sociodemographic and maternal health-related factors associated with mortality among children under three in Bangladesh: an analysis of data from Bangladesh Demographic and Health Survey 2017-18.BMC public health · 2024Article
- Spatial distribution and associated factors of cesarean section in Ethiopia using mini EDHS 2019 data: a community based cross-sectional study.Scientific reports · 2024Article
- Article
- The Impact of Educational Sessions on Anxiety Levels among Women Undergoing Caesarean Section: A Quasi-Experimental Study.European journal of investigation in health, psychology and education · 2024Article
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- Article
- Caesarean section delivery rates and associated factors in a faith-based referral hospital in Ghana: A retrospective analysis.PloS one · 2024Article
- Factors associated with caesarean sections among pregnant women admitted to a private academic hospital in Ongwediva, Oshana region, Namibia.Journal of public health in Africa · 2023Article
- Factors associated with successful vaginal birth after one lower uterine transverse cesarean section delivery.Scientific reports · 2023Article
- Article
- Factors associated with successful vaginal birth after cesarean section among mothers who gave birth in Ambo town, Oromia, Central Ethiopia, a case-control study.African health sciences · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCesarean section is the commonest obstetric operative procedure worldwide. When used appropriately cesarean sections can improve infant and/or maternal outcomes. However, when used inappropriately the potential harm may exceed the potential benefit of cesarean section. Appreciating the limited information in this area the current study assessed the rate and factors associated with cesarean section in Felegehiwot referral hospital, Bahir Dar, northwest Ethiopia.
methodThe study was a retrospective analysis of eligible patient records that included 2967 pregnant women who had underwent either cesarean or vaginal delivery from July 1, 2012 to June 31, 2013. The data were double entered to EPI-INFO 3.5.2 and analyzed with SPSS. Binary logistic regression model was fitted to identify independent factors associated with cesarean section.
resultThe proportion of women who underwent cesarean section in this study was 25.4%. Obstructed labor (30.7%), fetal distress (15.9%) and abnormal presentation (13.4%) were the major obstetric indications for cesarean section. The odd of undergoing cesarean section was higher among mothers in rural residence (AOR = 1.63, 95% CI: 1.21, 2.20), mothers reported to have pregnancy risk factors (AOR = 2.31, 95% CI: 1.74, 3.07) and lower among mothers in age category of 15-19 (AOR = 0.63, 95% CI: 0.43, 0.93).
conclusionObstetric factors occurring around birth, including obstructed labor and fetal distress were the main reasons leading to Cesarean Section rather than background characteristics assumed to be a risk. The results imply that there is a need for timely and accurate screening of women during obstetric care and, decision to perform cesarean section should be based on clear, compelling and well-supported justifications.
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