EFFECT OF AGE AND PARITY ON THE MEDICAL INDICATIONS OF CESAREAN SECTIONS AMONG PREGNANT WOMEN

Vincentia Dzigbordi Kondor, Justice Ofori-Amoah, Luximon-Ramma Amitabye

Abstract


Introduction: Caesarean section (CS) is considered the most common and important surgical procedure for women of childbearing age to deliver a baby. Over the years the rate of CS has been increasing and the cause of this rise in CS is multifactorial. Yet, the literature suggests that it largely results from advanced maternal age, particularly in primiparous women. This study, therefore, sought to investigate the effect of age and parity on CS and its indications. Methods: A retrospective study design and data for all mothers who had previously given birth at the hospital’s obstetric and gynaecological departments was used. A descriptive statistic was conducted to ascertain the distribution of the various dependent and independent variables. The P-value was determined using Pearson’s Chi-square and statistical significance was set at less than 0.05. Results: 40.6% of the participants delivered through CS. Foetal indications for CS contributed to 30% of the cases while previous CS contributed to 20.6% of current CS cases in this study. Finally, there were associations between CS, indications for CS, and some age-parity classifications but these associations were not parallel.

 

Article visualizations:

Hit counter


Keywords


caesarean section, maternal age, parity, indications

Full Text:

PDF

References


M. Abd Al Karim, W.M. Hadi, M.T. Abed, W.A. Ameen, H.M. Obaid, Indications and Common Complications of Caesarean Section: An Overview Study, Eurasian Med. Res. Period. 3 (2021) 40–44.

A. Abu-Heija, R. Rasheed, O. El-Qaraan, Effect of age and parity on primary caesarean sections, Clinical and experimental obstetrics & gynecology. 25 (1998) 38-39.

E.O. Adewuyi, A. Auta, V. Khanal, S.J. Tapshak, Y. Zhao, Cesarean delivery in Nigeria: Prevalence and associated factors - A population-based cross-sectional study, BMJ Open. 9 (2019) 1–12.

B. G/Mariam, T. Tilahun, E. Merdassa, D. Tesema, Indications, Outcome and Risk Factors of Cesarean Delivery Among Pregnant Women Utilizing Delivery Services at Selected Public Health Institutions, Oromia Region, South West Ethiopia, Patient Relat. Outcome Meas. Volume 12 (2021) 227–236.

S. Hailegebreal, G. Gilano, B.T. Seboka, M.H. Ahmed, A.E. Simegn, G.A. Tesfa, D.E. Yehualashet, Prevalence and associated factors of caesarian section in Ethiopia: a multilevel analysis of the 2019 Ethiopia Mini Demographic Health Survey, BMC Pregnancy Childbirth. 21 (2021) 1–9.

Z. Kanji, S.D. Simonovich, N. Najmi, J. Bishop-Royse, Examining Clinical Indications for Cesarean Section in a University Hospital in Karachi, Pakistan., J. Asian Midwives. 6 (2019) 14–25.

C. Kietpeerakool, P. Lumbiganon, M. Laopaiboon, S. Rattanakanokchai, J.P. Vogel, A.M. Gülmezoglu, Pregnancy outcomes of women with previous caesarean sections: Secondary analysis of World Health Organization Multicountry Survey on Maternal and Newborn Health, Sci. Rep. 9 (2019) 1–9.

G. Monamodi, T.M. Phologolo, Predictors of cesarean delivery in public referral hospitals in Botswana: a case control study, PAMJ - One Heal. 8 (2022).

K.D. Paul, Z. Hyacinthe, C. Ousséni, A.S. Nancy, M. Françoise, O. Ali, B. Blandine, Cesarean Section Indications and Prognosis in Adolescents Girls at the Mother-Child Pool of the Teaching Hospital of Tengandogo (CHU-T) in Burkina Faso, Open J. Obstet. Gynecol. 11 (2021) 1744–1751.

J. Prah, A. Kudom, A. Afrifa, M. Abdulai, I. Sirikyi, E. Abu, Caesarean section in a primary health facility in Ghana: Clinical indications and, J. Public Health Africa. 8 (2017) 98–102.

H. Qublan, A. Alghoweri, M. Al-Taani, S. Abu-Khait, A. Abu-Salem, A. Merhej, Cesarean section rate: The effect of age and parity, J. Obstet. Gynaecol. Res. 28 (2002) 22–25.

M.A. Al Rowaily, F.A. Alsalem, M.A. Abolfotouh, Cesarean section in a high-parity community in Saudi Arabia: Clinical indications and obstetric outcomes, BMC Pregnancy Childbirth. 14 (2014).

E. Rydahl, E. Declercq, M. Juhl, R.D. Maimburg, Cesarean section on a rise—Does advanced maternal age explain the increase? A population register-based study, PLoS One. 14 (2019) 1–16.

D. Singh, R. Regmi, T. Gurung, L. Sunar, Cesarean Delivery and its indication: a Cross Sectional Study in a Tertiary Care Hospital, Pokhara, Nepal, Nepal J. Obstet. Gynaecol. 12 (2018) 79–82.

N. Singh, Y. Pradeep, S. Juahari, Indications and Determinants of Cesareab Section: A Cross-Sectional Study, Int. J. Appl. Basic Med. Res. (2020).

C.S. Tarimo, M.J. Mahande, J. Obure, Prevalence and risk factors for caesarean delivery following labor induction at a tertiary hospital in North Tanzania: A retrospective cohort study (2000-2015), BMC Pregnancy Childbirth. 20 (2020) 1–8.

WHO, WHO non-clinical recommendations unnecessary to reduce interventions caesarean sections, 2018.




DOI: http://dx.doi.org/10.46827/ejphs.v6i1.147

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Vincentia Dzigbordi Kondor, Justice Ofori-Amoah, Luximon-Ramma Amitabye

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2019 - 2023. European Journal of Public Health Studies (ISSN 2668-1056/ISSN-L 2668-1056) is a registered trademark of Open Access Publishing Group. All rights reserved.

This journal is a serial publication uniquely identified by an International Standard Serial Number (ISSN) serial number certificate issued by Romanian National Library. All the research works are uniquely identified by a CrossRef DOI digital object identifier supplied by indexing and repository platforms. All the research works published on this journal are meeting the Open Access Publishing requirements and standards formulated by Budapest Open Access Initiative (2002), the Bethesda Statement on Open Access Publishing (2003) and Berlin Declaration on Open Access to Knowledge in the Sciences and Humanities (2003) and can be freely accessed, shared, modified, distributed and used in educational, commercial and non-commercial purposes under a Creative Commons Attribution 4.0 International License. Copyrights of the published research works are retained by authors.