Magnitude and Determinants of Primary Cesarean Section Among Women Who Gave Birth in Shire, Northern Ethiopia

Figures & data

Table 1 Obstetric, Gynecological and Medical History of Mothers Who Gave Birth in Suhul General Hospital, Shire, Northern Ethiopia, 2017 (n=400)

Characteristics	No	%
Parity
Prim gravida	127	31.8
Multi gravida	273	68.2
ANC follow up
Yes	391	97.8
No	9	2.3
Onset of labor
Spontaneous	350	92.3
Induced	29	7.7
Augmented
Yes	54	15.4
No	296	84.6
Mode of delivery
SVD	296	74
Instrumental	23	5.8
CS	81	20.2
Type of CS
Elective	21	25.9
Emergency	60	74.1
History of PIH
Yes	41	10.2
No	359	89.8
History of still birth
Yes	25	6.2
No	375	93.8
History of END
Yes	13	3.2
No	387	96.8
History of infertility
Yes	4	1
No	396	99
History of fistula
Yes	1	0.3
No	399	99.7
History of chronic medical illness
Yes	24	6
No	376	94
Gestational age in weeks
<37	27	6.8
37–42	313	78.2
>42	27	6.8
Unknown	33	8.2

Table 2 Fetal Characteristics of Who Gave Birth in Suhul General Hospital, Shire, Northern Ethiopia, 2017 (n=400)

Characteristics	No	%
Fetal lie
Longitudinal	383	95.8
Oblique	9	2.2
Transverse	8	2
Number of fetus
Single	376	94
Twin	23	5.7
Triplet	1	0.3
Presentation of first twin
Cephalic	21	91.3
Breech	2	8.7
Fetal condition
Alive	382	95.5
Died	18	4.5
Birth weight
<2500 gm	42	10.4
2500–3999 gm	349	87.3
≥4000 gm	9	2.3

Table 3 Bivariate and Multivariate Analysis of Factors Associated with Primary Cesarean Section

Variables	Primary CS		OR
	Yes	No	COR	AOR
Residence
Urban	32	191	1	1
Rural	49	128	2.31 (1.34,3.76)	1.71 (0.87, 3.39)
Gestational age
<37	3	24	0.61 (0.18,2.11)	0.68 (0.15, 3.08)
37–42	53	260	1	1
>42	18	9	2.45 (1.05, 5.76)	3.81 (0.92, 15.88)
Unknown	16	17	4.62 (2.19, 9.71)	5.83 (2.37, 14.31)*
Labor augmentation
Yes	16	38	3.40 (1.68, 6.67)	3.14 (1.49, 6.57)*
No	33	263	1	1
Induction of labor
Yes	13	16	3.62 (1.66, 7.88)	1.73 (0.24, 12.70)
No	68	303
History of PIH
Yes	17	24	3.27 (1.65, 6.43)	3.10 (1.23, 7.83)*
No	64	295	1	1
Birth weight
<2500 gm	8	34	0.99 (0.44, 2.24)	1.70 (0.65, 4.48)
2500–3999gm	67	282	1	1
≥4000 gm	6	3	8.42 (2.05, 34.52)	11.00 (2.30, 57.51)*

Notes: Significant codes:

* < 0.05.