Publication: Prevalence and Associated Factors of Cesarean Section in Dhulikhel Hospital, Kathmandu University Hospital
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
The Cesarean Section (CS) is a major obstetric life-saving procedure used to avoid
pregnancy and childbirth complications. Cesarean sections are becoming more
popular across the world, as well as in Nepal.
Objective
To assess the prevalence of cesarean section and its associated factors among
women in Dhulikhel, Nepal.
Method
A cross-sectional study was conducted where 1246 pregnant women of age 15-45
years, admitted and delivered in hospital, were selected through purposive sampling
technique and interviewed using structured questionnaires in Dhulikhel Hospital,
Kathmandu University Hospital, Kavre, Nepal.
Result
The prevalence of cesarean section among women was 39.7% where the most
common indication was previous cesarean section with scar tenderness, 27.9%. Half
of the participants, i.e. 50.6%, were primigravida. Majority of women, 97.5% had
done their antenatal checkup and among them 74.8% had their checkup in Dhulikhel
Hospital, Kathmandu University Hospital. Most of them, i.e.76.2% had emergency
cesarean section and 69.5% had primary cesarean section. Women of the age
group 30-45 years (AOR=2.23) and women with higher secondary education level
(AOR=2.03) were two times more likely to perform cesarean section. Women involved
in service (AOR=1.37) and business (AOR=1.23) had greater odds of performing
cesarean section than homemakers. Women giving birth to infants weighing 3.51-
5.00 kg were more likely to perform cesarean section (AOR=1.33).
Conclusion
The prevalence of cesarean section is noticeably high where the educated, employed
and higher aged women are more inclined to cesarean section. More obstetric
factors could be explored to determine the rise in cesarean section in Nepal which
can help in decision making for clinicians.
KEY WORDS
Cesarean section, Dhulikhel hospital, Prevalence
Description
Acharya R,1 Singh B,1 Nepal J,1 Thapa P,1 Pandey C,1Pandey J,2Shrestha S,1 Khan A,3 Pun KD1
1Dhulikhel Hospital, Kathmandu University Hospital
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
2Lumbini Medical College Teaching Hospital
Prabas, Palpa
3Townsville Hospital
Queensland, Australia
Keywords
Cesarean section, Dhulikhel hospital, Prevalence