Rationale of indications for caesarean delivery and associated factors among primigravidae in Tanzania

dc.contributor.authorMpotora, Juliana C.
dc.contributor.authorYahaya, James J.
dc.contributor.authorNgw'eshemi, Secilia K.
dc.contributor.authorMwampagatwa, Ipyana H.
dc.date.accessioned2021-08-20T07:56:57Z
dc.date.available2021-08-20T07:56:57Z
dc.date.issued2021
dc.descriptionFull text article. Also available at https://doi.org/10.1016/j.jtumed.2021.01.009en_US
dc.description.abstractThis study aimed to determine the prevalence of modes of delivery and associated maternal and newborn outcomes among singleton primigravidae in the Iringa region of Tanzania. A cross-sectional, analytical hospital-based study was conducted in the Iringa region among 356 singleton primigravidae between April and August 2018. Convenience sampling and consecutive collection of data using a face-to-face interviewer-administered questionnaire was done. A total of 356 singleton primigravid women with a mean age of 22.0 years (range: 15–49) participated in the study. The majority of the participants (73.0%, n = 250) were in the 20–35 age group. Caesarean and vaginal delivery were performed in 41.3% (n = 147) and 58.7% (n = 209) of the cases, respectively. The maternal height and weight of the newborn were significantly associated with caesarean delivery; (p = 0.001) and (p = 0.029), respectively. After adjusting for all variables, birth asphyxia (AOR = 3.25, 95% CI: 1.867–5.646, p = 0.000) and low birth weight (AOR = 0.03, 95% CI: 0.003–0.211, p = 0.001) were associated with caesarean delivery. The findings of our study indicated the prevalence of caesarean section to be three times more than that recommended by the World Health Organization. Pregnant women with a height of less than 150 cm should be considered for caesarean section. Therefore, it is necessary for stakeholders in the health sector to formulate guidelines for absolute indications for caesarean section.en_US
dc.identifier.citationMpotora, J. C., Yahaya, J. J., Ngw'eshemi, S. K., & Mwampagatwa, I. H. (2021). Rationale of indications for caesarean delivery and associated factors among primigravidae in Tanzania. Journal of Taibah University Medical Sciences.en_US
dc.identifier.otherDOI:10.1016/j.jtumed.2021.01.009
dc.identifier.urihttp://hdl.handle.net/20.500.12661/3283
dc.language.isoenen_US
dc.publisherElsevier Ltden_US
dc.subjectCaesarean sectionen_US
dc.subjectNeonates outcomesen_US
dc.subjectDeliveryen_US
dc.subjectMaternal deliveryen_US
dc.subjectChildbirthen_US
dc.subjectMaternal outcomesen_US
dc.subjectPrimigravidaeen_US
dc.subjectCaesarean deliveryen_US
dc.titleRationale of indications for caesarean delivery and associated factors among primigravidae in Tanzaniaen_US
dc.typeArticleen_US
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