PREVALENCE AND INDICATIONS OF CAESAREAN SECTION AT SAINT PAUL’S HOSPITAL ADDIS ABABA, ETHIOPIA, 2022.

Abstract

Abstract Background Cesarean Section (CS) has played a major role in lowering both maternal and perinatal morbidity and mortality rates. Rates of cesarean section are of concern to both developed and developing countries. The global Cs rate is distributed very unevenly and results 15% of abdominal delivery. The most common indications for cesarean delivery include: failure to progress during labor, previous Cs, non-reassuring fetal status and fetalmal-presentation cephalopelvic disproportion, vaginal bleeding, hypertensive disorders, and premature rupture of membranes. Objective: The study aimed to assess the prevalence and indications for Caesarean section at St. Paul’s hospital Addis Ababa, Ethiopia. Methodology: Institutional cross-sectional study was used, and data was collected by reviewing the log book of patients who underwent CS operations at St. Paul’s Hospital Millennium Medical College (SPHMMC) gynecology obstetric department from 1st July 2021 to 30th June 2022. The leading indications for Cesarean Section was determined in terms of frequency and percentage. Result: There were 9165 deliveries done in the hospital. Out of total deliveries conducted,351 (35%) were CS deliveries. Majority of were the age of 20-34 years the 283 (80.6%) and out of 351 patients, 288(82.1%) patients belonged to urban area while 63(17.9%) patients came from rural area. The most common indication of CS in the study majority was mal presentation 105 (29.9%), previous cesarean section 93 (26.5%), non- oligohydramnios 49(14%), others 38 (10.8%), Non progress of labor 19(5.4%), and Premature rupture of membrane 13 (3.7%). Conclusion: Prevalence of cesarean at Saint Paul’s hospital millennium medical college is high compared to other study in Ethiopia. The most common indications of cesarean section were mal presentation and oligohydramnios. Key words: Caesarean section; prevalence; Operative delivery; Addis Ababa; Ethiopia