PLoS ONE (Jan 2024)

Caesarean section delivery rates and associated factors in a faith-based referral hospital in Ghana: A retrospective analysis.

  • Ebenezer Jones Amoah,
  • Rita Aklie,
  • Thomas Hinneh,
  • Angela Asare,
  • Kinglsey E Amegah

DOI
https://doi.org/10.1371/journal.pone.0301634
Journal volume & issue
Vol. 19, no. 5
p. e0301634

Abstract

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IntroductionThe global incidence of caesarean section (CS) deliveries has exceeded the recommended threshold set by the World Health Organization. This development is a matter of public health concern due to the cost involved and the potential health risk to the mother and the neonate. We sought to investigate the prevalence, indications, maternal and neonatal outcomes and determinants of CS in private health facilities in Ghana.MethodA retrospective cross-sectional analysis was conducted using data from women who delivered at the Holy Family Hospital from January to February 2020 using descriptive and inferential statistics, with a significance level set at pResultsThe prevalence of CS was 28.70%. The primary indications of C/S include previous C/S, foetal distress, breech presentation, pathological CTG and failed induction. Significant associations were found between CS and breech presentation (AOR = 4.60; 95%CI: 1.22-17.38) pConclusionThe prevalence of caesarean section (CS) deliveries was higher than the WHO-recommended threshold. Major indications for CS included previous CS, fetal distress, and failed induction. Significant risk factors for CS were previous CS history, breech presentation, and neonates referred to NICU.