Predictors of emergency second caesarean section among women with one previous scar delivering at Iringa regional referral hospital 2024
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Abstract
Background: A significant increase in second-emergency caesarean sections (CS) is associated with numerous adverse obstetric outcomes. Women have the opportunity to undergo a planned childbirth, potentially preventing the need for a second emergency caesarean section. This study aims to assess the predictors of second-emergency CS
Objective: To determine the predictors of the emergency second caesarean section among pregnant women delivering at Iringa Referral Hospital
Methodology: The study was conducted at Iringa Hospital over six months using a cross-sectional design. We recruited participants using a designed checklist. We sequentially enrolled women arriving for delivery with one previous scar until we reached the target sample size. Females with medical conditions were excluded.
Results: The emergency second CS was 204(57.46%. The significant predictors of emergency second CS were lack of employment. [AOR=3.018, 95% CI (1.589, 15.461), P=0.0150]. late booking11-20 weeks [AOR=4.693, 95% CI (1.182, 18.635), P=0.0280] and >21 weeks [AOR=6.533, 95% CI (1.024, 41.667), P=0.047, category of health care provider [AOR=3.876, 95% CI (1.302, 11.535), P=0.0149]. All who had birth plan has lower chance of emergency second CS [AOR=0.005,95%CI(0.001,<0.0001) p<0.0001].Another predictors was Ultrasound scanning in last trimester [AOR=10.051, 95% CI (3.946, 25.602), P=0.0001]and pregnancy interval increase the chance of second CS [AOR=10.051, 95% CI (3.946, 25.602), P=0.0001]
Conclusion
Emergency second-caesarean sections (CS) are a more prevalent practice. Most women originate from primary healthcare centers, where nurses primarily manage them without a birth plan. Antenatal visits and delayed prenatal care were the challenges that exacerbated the situation.
KEY WORDS. predictors, emergency, second Caesarean section, previous scar, Iringa.
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predictors, emergency, second caesarean section, Iringa
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