August 24, 2026 Thesis Open Access

BY: Sihingitan Asefa (MD, OB-GYN Resident)

Citation Style Language JSON Export

{
  "DOI": "10.20372/nadre:25789", 
  "author": [
    {
      "family": "BY: Sihingitan Asefa (MD, OB-GYN Resident)"
    }
  ], 
  "issued": {
    "date-parts": [
      [
        2026, 
        8, 
        24
      ]
    ]
  }, 
  "abstract": "<p>ABSTRACT Background: Cesarean section (CS) is one of the most commonly performed major surgical procedures worldwide and is associated with significant maternal morbidity. Understanding the magnitude and determinants of cesarean section&ndash;related complications is essential for improving the quality of obstetric care, particularly in low-resource settings. However, evidence regarding CS complications at Wallaga University Comprehensive Specialized Hospital is limited. Objective: To assess the prevalence of cesarean section complications and identify associated factors among mothers who delivered by Cesarean section at Wallaga University Comprehensive Specialized hospital from July 1, 2025, to January 31, 2026. Methods: A hospital-based cross-sectional study was conducted among 341 mothers who underwent cesarean section at Wallaga University Comprehensive Specialized Hospital. Data were collected using a structured and pretested questionnaire through face-to-face interviews and medical record review. Bivariate logistic regression analysis was performed to identify candidate variables (p &lt; 0.25), followed by multivariable logistic regression using the Enter method to determine independent predictors. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were calculated, and statistical significance was declared at p &lt; 0.05. Results: The overall prevalence of cesarean section complications was 12.9% (95% CI, 9.4%- 16.5%). The most common complications were hemorrhagic complications (10.6%), intraoperative complications (9.7%), and wound-related complications (2.1%). Emergency cesarean section (AOR = 5.59, 95% CI: 1.40&ndash;22.25), use of general anesthesia (AOR = 5.96, 95% CI: 1.28&ndash;27.73), presence of obstetric complications (AOR = 2.48, 95% CI: 1.19&ndash;5.17), and prolonged duration of surgery (AOR = 2.80, 95% CI: 1.48&ndash;5.31) were significantly associated with increased odds of complications. Conversely, higher number of antenatal viii care (ANC) visits was associated with a reduced risk of complications (AOR = 0.51, 95% CI: 0.30&ndash;0.88). Conclusion: The prevalence of cesarean section complications was relatively high. Emergency cesarean delivery, use of general anesthesia, presence of obstetric complications, prolonged surgical duration, and fewer ANC visits were identified as significant predictors. Strengthening antenatal care services to ensure adequate follow-up, optimizing emergency cesarean section management, and improving perioperative care are recommended to reduce postoperative complications. Keywords: Cesarean section, post-operative complications, associated factors, antenatal care, Wallaga, Ethiopia</p>", 
  "title": "PREVALENCE OF CESAREAN SECTION COMPLICATIONS  AND ASSOCIATED FACTORS AMONG WOMEN WHO  UNDERWENT CESAREAN SECTION AT WALLAGA  UNIVERSITY COMPREHENSIVE SPECIALIZED  HOSPITAL, NEKEMTE TOWN,  WESTERN ETHIOPIA", 
  "type": "thesis", 
  "id": "25789"
}