OBSTETRICS-RELATED FACTORS ASSOCIATED WITH TYPES OF CESAREAN SECTIONS AMONG MOTHERS

Abstract

Abstract

Objectives: This study aimed to investigate the socio-demographic-related factors associated with types of cesarean sections among mothers in Karbala city/ Iraq.

Method: The descriptive analytical study was conducted among two types of caesarian section (elective and emergency) in Gynecology and Obstetrics Hospital in Karbala Governorate for the period of  October 1st 2023 to February 20th 2024. The current research is centered on a cohort of mothers who have undergone caesarean sections, utilizing a non-probability sampling methodology. The study encompasses a total of 270 mothers. Data were collected through interviews and analyzed by applying descriptive and inferential statistical analysis.

Results: The findings indicate 80.7% of mothers aged over 20, 83% with an education, and 83.4% unemployed. Monthly income was sufficient for 77.8%. Body mass index (BMI) showed 70.7% with a normal BMI and 29.3% classified as obese. The findings show significant association between types of caesarean sections and post-mature delivery [OR= 2.567; 95%CI; p= .000], history of previous caesarean sections [OR=25.567; 95%CI; p=0.000], not adhere to antenatal care on a regular basis [OR= 11.750; 95%CI; p= .001], and the presence of diseases associated with pregnancy [OR= 22.379; 95%CI; p= .000].

Conclusions: This study reveals association between post-mature delivery, prior caesarean sections, inconsistent antenatal care attendance, and pregnancy-related diseases, leading to a higher probability of elective caesarean section. The results emphasize the need for focused interventions and heightened awareness to encourage timely and regular antenatal care, particularly for high-risk pregnancies, in order to decrease the incidence of elective caesarean sections.