Affiliation:
1. Université Sagesse d’Afrique
2. Pan African University Life and Earth Sciences Institute (Including Health and Agriculture)- PAULESI
3. University of Witwatersrand
4. African Institute of Research for Public Health and Development
Abstract
Abstract
Background
Caesarean section is one of the commonest surgical procedures worldwide. It is an important medical intervention for reducing the risk of poor perinatal outcomes. However, trends in caesarean section in sub-Saharan Africa continue to increase, while maternal and neonatal mortality and morbidity remain high. This study aims to determine the prevalence and factors associated with caesarean section in Tanzania.
Methodology
This was a secondary data analysis of 4,768 women of reproductive age (15-49) in Tanzania. The data utilized was from the Tanzania Demographic Health and Survey (TDHS) 2022. The factors associated with caesarean section were identified using multivariable binary logistic regression.
Results
Out of 4,768 women of reproductive age in Tanzania, 497 (10.4%) underwent a cesarean section. Attained primary (aOR: 1.79 ,95% CI 1.23-2.60), secondary (aOR:2.07,95% CI 1.36-3.14) and higher education (aOR: 2.35, 95% CI 1.08-5.12) or having a husband/partner with higher education ,being in richer household wealth quintile (aOR:1.98 ,95% CI (1.31-3.00) or in the middle (aOR :1.91 ,95% CI (1.28-2.85), having a job (aOR : 1.29, 95% CI: 1.05-1.58)and attended more than 4ANC(aOR: 1.36, 95% CI: 1.11-1.67) were associated with a higher odds of undergoing caesarean section compared to their respective counterparts. However, living in rural areas (aOR: 0.74, 95% CI:0.58- 0.94), being multiparous women with 2-4 births (aOR: 0.67, 95% CI: 0.53-0.84) and 5 and more births (aOR: 0.44, 95% CI: 0.32-0.60) were associated with lower odds of caesarean section.
Conclusion
The overall prevalence of caesarean section among women of reproductive age in Tanzania was 10.4%. The highest educational level, husband/partner's education level, household wealth quintile, type of residence, employment status, increased ANC number, and high parity were associated with caesarean section. There is an urgent need for continued efforts to ensure universal access to essential critical care services for all populations, thereby preventing premature maternal and infant mortality.
Publisher
Research Square Platform LLC
Reference31 articles.
1. Ganeriwal SA, Ryan GA, Purandare NC, Purandare CN. ‘Examining the role and relevance of the critical analysis and comparison of cesarean section rates in a changing world’, Taiwan. J. Obstet. Gynecol., vol. 60, no. 1, pp. 20–23, Jan. 2021, 10.1016/j.tjog.2020.11.004.
2. Tegegne TK, Chojenta C, Getachew T, Smith R, Loxton D. ‘Spatial and hierarchical Bayesian analysis to identify factors associated with caesarean delivery use in Ethiopia: evidence from national population and health facility data’, medRxiv, 2022.
3. Igwemadu GT et al. Dec., ‘Single-dose versus multiple-dose antibiotics prophylaxis for preventing caesarean section postpartum infections: A randomized controlled trial’, Womens Health Lond. Engl., vol. 18, p. 17455057221101072, 2022, 10.1177/17455057221101071.
4. A cross-sectional study to assess the frequency and risk factors associated with cesarean section in Southern Punjab, Pakistan;Rasool MF;Int J Environ Res Public Health,2021
5. ‘Acute tocolysis for uterine tachysystole or suspected fetal distress’;Leathersich SJ;Cochrane Database Syst Rev,2018