Table 3. Factors associated with caesarean birth among women who gave birth in selected public and private health facilities in Bahir Dar city, Amhara Regional State, Ethiopia, 2019 (n = 708).
Factors |
Category | Caesarean birth | COR (95%CI) | AOR (95%CI) | |
---|---|---|---|---|---|
No | Yes | ||||
Health facility type | Public | 258 | 98 | 1 | 1 |
Private | 154 | 198 | 3.38(2.47,4.63)*** | 3.45(2.24,5.34)*** | |
Age | 15–24 | 117 | 47 | 0.47(0.28,0.79) | |
25–34 | 242 | 204 | 0.99(0.64,1.54) | ||
>35 | 53 | 45 | 1 | 1 | |
Women Educational status | No formal education | 86 | 24 | 1 | |
Primary | 88 | 40 | 1.62(0.90,2.92) | ||
Secondary | 119 | 68 | 2.04(1.19,3.52)** | ||
College and above | 119 | 164 | 4.93(2.96,8.22)** | 2.64(1.31,5.3)** | |
Women occupation | House wife | 267 | 133 | 1 | |
Government employee | 85 | 117 | 2.76(1.95,3.91)*** | ||
Self-employee | 59 | 45 | 1.53(0.98,2.37) | ||
NGO | 1 | 1 | 2.0(0.12,32.34) | ||
Spouse educational status | No formal education | 86 | 16 | 1 | |
Primary | 45 | 20 | 2.38(1.12,5.05)* | ||
Secondary | 85 | 57 | 3.60(1.91,6.77)*** | ||
College and above | 192 | 196 | 5.48(3.10,9.69)*** | ||
Residency | Rural | 55 | 7 | 1 | 1 |
Urban | 357 | 289 | 6.36(2.85,14.17)*** | 4.8(1.8,12.76))*** | |
Gravida | One | 156 | 179 | 2.49(1.44,4.27)** | |
Two | 83 | 108 | 2.19(1.23,3.89)** | ||
Three | 36 | 65 | 1.58(0.83,3.0) | ||
Four &above | 21 | 60 | 1 | ||
Parity | Para one | 162 | 181 | 2.55(1.49,4.38)** | |
Two | 80 | 106 | 2.15(1.21,3.83)** | ||
Three | 33 | 65 | 1.45(0.75,2.77) | ||
Four & above | 21 | 60 | |||
Gestational age(weeks) | <37 | 25 | 9 | 1 | |
37–42 | 384 | 280 | 2.02(0.93,4.4) | ||
>42 | 3 | 7 | 6.48(1.37,30.6)* | ||
Fetal presentation | Cephalic | 390 | 267 | 1 | 1 |
Breech |
22 | 29 | 1.92(1.08,3.42)*** | 3.16(1.56,6.39)** | |
Wealth index | Lowest | 61 | 23 | 1 | |
Second | 106 | 73 | 1.82(1.03,3.2)* | ||
Medium | 78 | 55 | 1.87(1.03,3.37)* | ||
Fourth | 117 | 89 | 2.01(1.16,3.5)* | ||
Highest | 49 | 56 | 3.03(1.64,5.61)*** | ||
Referral status | Not referred | 307 | 242 | 1 | 1 |
Referred | 105 | 54 | 0.65(0.45,0.94) | 2.71(1.60,4.59)*** |
*statically significant at 0.05 < P<0.01
** 0.01<p<0.001
***<0.001