Characteristics of Women in the Reproductive Age Delivering by Cesarean Section in Ghana
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MEDICINE
Characteristics of Women in the Reproductive Age Delivering by Cesarean Section in Ghana Eugene Kofuor Maafo Darteh 1 Accepted: 16 April 2020 # Springer Nature Switzerland AG 2020
Abstract Maternal mortality is a major contributor to the number of deaths that occur among women of childbearing ages (15–49). It is usually higher for women in developing countries than those in developed countries, principally due to ante-partum, intra-partum, and post-partum complications. The major cause of maternal mortality is unsafe delivery. Pregnant women at the delivery point can either deliver per vaginum or by cesarean section, depending on the circumstances surrounding the pregnancy. While many women deliver vaginally, cesarean delivery is appropriate for obstetric emergencies. This study, therefore, seeks to examine the characteristics of women in their reproductive age delivering via elective cesarean section in Ghana. The study used data from the 2017 Ghana Maternal Health Survey (GMHS). A sample of 11,309 women was used for the study. Binary logistic regression models were used to examine the relationship between delivery by cesarean section and the independent variables. A little over 12% of the respondents (12.4%) delivered through cesarean section. The results showed significant associations with age, place of residence, religion, level of education, frequency of reading newspaper or magazine, wealth index (richest), and delivery by cesarean section. The study concludes that the overall cesarean section rate was 12.4%. The results show that there is a significant association between delivery by cesarean section and maternal age, wealth index, level of education, place of residence, religion, and frequency of reading newspaper or magazine. However, given the complex role of cesarean section in labor and delivery care in low- and middle-income countries, these factors should be taken into cognizance in considering cesarean delivery among women in Ghana. It is also imperative to understand why high proportions of women seek CS without any maternal and fetal indication. Keywords Women . Reproductive age . Delivering . Cesarean section . Ghana
Introduction Maternal mortality represents the primary cause of death among women of childbearing age. It is usually higher for women in developing countries than those in developed countries [1, 2]. The major cause of maternal mortality is delivery complications occasioned by delays in accessing emergency obstetric care [3]. Pregnant women at the delivery point can either deliver naturally per vaginum, by assisted vagina delivery, or by cesarean section, depending on the circumstances surrounding the pregnancy [4]. Cesarean section is the surgical delivery of the fetus through an abdominal and uterine incision [5]. It is one of the most common and major obstetric surgeries in the world and has helped improve obstetric care [6]. * Eugene Kofuor Maafo Darteh [email protected] 1
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana
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