the rate, indications and contributing factors of cesarean delivery in southern nation nationalities and people’s region, ethiopia

Background & aim: caesarean delivery is a lifesaving surgical procedure for boththe mother and the infant in specific medically indicated circumstances, butunnecessary caesarean delivery can lead to increased medical risks. this researchconsiders the rate, indications and contributing factors of caesarean delivery in thedurame hospital, southern ethiopia.methods: this hospital-based, cross-sectional study examined in the period frommay 1 through june 1, 2019. three hundred respondents were enrolled byconsecutive sampling, and a structured tool and document review were used fordata collection. data entry and analysis were conducted with epidata (version 3.1)and spss software (version 24). multivariable logistic regression was employed todetermine the contributing factors associated with caesarean delivery at a 95%confidence interval (ci).results: the overall rate of caesarean delivery was observed to be 24.7%. nonreassuring fetal heart rate (n=13; 17.06%) and abnormal presentation (n=9;12.2%) were the two most prevalent indications of cesarean delivery. the factorsassociated with cesarean delivery were previous cesarean delivery (aor =7.3, 95% ci: 2.02-26.65), post-term pregnancy (aor=3.3, 95% ci: 1.268.67) and maternalage of ≥35 years (aor=3.3, 95% ci: 1.26-8.67).conclusion: the rate of caesarean delivery exceeded the recommended limit ofthe world health organization. to ensure the appropriate use of the procedure,women with a previous caesarean delivery must be meticulously evaluated for thepossibility of vaginal delivery, and the hospital must regularly monitor caesareandelivery indications