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Factors contributing to increased caesarean deliveries among mothers at maternity ward of Kampala International University teaching hospital, Bushenyi District

Author: Ashiraf Ndawula
Publisher: INOSR Experimental Sciences
Published: 2023
Section: Faculty of Clinical Medicine and Dentistry

Abstract

This study identifies factors contributing to increased cesarean section rates among mothers
at the obstetrics department of Kampala International University Hospital, Bushenyi District.
A cross-sectional study design and quantitative methodology were used. As expected, 70
participants (100%) had data analyzed using SPSS results presented in the frequency table.
According to the research results, the highest number was 27 (38.6%) at the age of 25 to 31,
the least 3 (4.3%) at the age of 39 to 45.The highest number is 31 (44.3%), who completed
secondary school. However, 27 (38.6%) are self-employed and 24 (34.3%) are housewives.
Socio-economically, only 9 people (12.9%) earn more than 500,000 Ugandan shillings per
month. 11 (15.7%) admitted to requesting C/S. Among the causes of CS, fetal distress 16
(22.9%) was the highest and premature rupture of membranes (PROM) 4 (5.7%) the least
became significant with P value < ;0.001.53 (75.7%) had gone for prenatal care during their
previous pregnancy and among those who had gone for prenatal care, only 12.86% had gone
for 4 or more prenatal care visits. 96.88% said that the idea of C/S (due to the condition of
mother and baby) came from medical staff.54 (77.1%) participants disagreed with the notion
that the hospital or its service providers practice C/S for profit. 24 (34.3%) said that medical
service providers perform C/S for students to practice. C/S delivery at KIUTH is not in
demand but is high and significant due to age (39-45 years old), occupation (self-employed)
or prolonged rupture of membranes. Other obstetric, sociodemographic, and medical facility
factors may confer a negligible risk of cesarean delivery.