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dc.contributor.authorKomuhangi, Alimah
dc.contributor.authorAkello, Racheal
dc.contributor.authorIzudi, Jonathan
dc.date.accessioned2024-02-08T08:28:27Z
dc.date.available2024-02-08T08:28:27Z
dc.date.issued2023
dc.identifier.citationKomuhangi, A., Akello, R., & Izudi, J. (2023). Determinants of a high prevalence of cesarean section among women in eastern Uganda. The Pan African Medical Journal, 46.en_US
dc.identifier.urihttp://ir.must.ac.ug/xmlui/handle/123456789/3376
dc.description.abstractIntroduction: increasing proportion of Uganda women deliver by cesarean section (C-section) but limited studies have examined the determinants of C-section. We investigated the prevalence and determinants of C-section among women aged 1549 years in eastern Uganda. Methods: we retrieved data for women who attended postnatal care across four large healthcare facilities in Kamuli district. C-section (surgical operation to deliver a baby through the abdomen, whether planned or not) was the outcome. Binary logistic regression was done to determine factors independently associated with C-section, reported as adjusted odds ratio (aOR) and 95% confidence interval (Cl). Results: of 727 participants, 126 (17.3%) had delivered by C-section, with the associated factors as self (aOR=1.92, 95% CI 1.043.52) and unemployment (aOR=1.81; 95% CI 1.013.21), birth order namely second (aOR=3.13, 95% CI 1.77- 5.65), third (aOR=3.60, 95% CI 1.97-6.78), fourth (aOR=2.88, 95% CI 1.46-5.93) and fifth or beyond birth (aOR=2.16, 95% CI, 1.17-4.09), and a rural health facility (aOR=2.04, 95% CI 1.31-3.22). Conclusion: The C-section prevalence is slightly higher than recommended by the World Health Organization. There is a need to promote contraceptive use to limit fertility, increase access to contraceptives among rural women, raise awareness among women about the importance of early and regular antenatal visits through education campaigns, equip healthcare facilities with well-trained staff and infrastructure to ensure quality antenatal care to prevent complications that could lead to C-sections, and conduct ongoing research to identify barriers and challenges faced by women in seeking quality healthcare and knowledge about obstetric risk factors.en_US
dc.language.isoen_USen_US
dc.publisherThe Pan African Medical Journalen_US
dc.subjectPostpartum womenen_US
dc.subjectCaesarean sectionen_US
dc.subjectUgandaen_US
dc.titleDeterminants of a high prevalence of cesarean section among women in eastern Ugandaen_US
dc.typeArticleen_US


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