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Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study
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 det...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029601/ https://www.ncbi.nlm.nih.gov/pubmed/32070303 http://dx.doi.org/10.1186/s12884-020-2792-7 |
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author | Seidu, Abdul-Aziz Hagan, John Elvis Agbemavi, Wonder Ahinkorah, Bright Opoku Nartey, Edmond Banafo Budu, Eugene Sambah, Francis Schack, Thomas |
author_facet | Seidu, Abdul-Aziz Hagan, John Elvis Agbemavi, Wonder Ahinkorah, Bright Opoku Nartey, Edmond Banafo Budu, Eugene Sambah, Francis Schack, Thomas |
author_sort | Seidu, Abdul-Aziz |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7029601 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-70296012020-02-25 Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study Seidu, Abdul-Aziz Hagan, John Elvis Agbemavi, Wonder Ahinkorah, Bright Opoku Nartey, Edmond Banafo Budu, Eugene Sambah, Francis Schack, Thomas BMC Pregnancy Childbirth Research Article 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. BioMed Central 2020-02-18 /pmc/articles/PMC7029601/ /pubmed/32070303 http://dx.doi.org/10.1186/s12884-020-2792-7 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Seidu, Abdul-Aziz Hagan, John Elvis Agbemavi, Wonder Ahinkorah, Bright Opoku Nartey, Edmond Banafo Budu, Eugene Sambah, Francis Schack, Thomas Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study |
title | Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study |
title_full | Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study |
title_fullStr | Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study |
title_full_unstemmed | Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study |
title_short | Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study |
title_sort | not just numbers: beyond counting caesarean deliveries to understanding their determinants in ghana using a population based cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029601/ https://www.ncbi.nlm.nih.gov/pubmed/32070303 http://dx.doi.org/10.1186/s12884-020-2792-7 |
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