Epidemiology of cesarean delivery in Kassala, Eastern Sudan: a community-based study 2014- 2015

Abstract

Background: Cesarean delivery is a main obstetrical operation and its rate should be optimized where the World Health Organization regards that a cesarean delivery rate of 5-15% is an optimal range, putting in consideration the necessity of the procedure as a lifesaving intervention for both the mother and fetus.

Objectives: To investigate the epidemiology of cesarean delivery in Kassala, Eastern Sudan from December 2014 to March 2015.

Materials and Methods: A stratified, multistage, household survey was carried?out. Questionnaires were applied to gather mode of delivery and its determinants.

Results: Out of 303 women, 87 (28.7%), 100 (33%), 116 (38.3) were primiparous, secondiparous and multiparous, respectively, Mothers' age ranged from 13 to 48 with mean (SD) 27.79 (5.94) years. In logistic regression, elder women (OR=1.1, 95 CI= 1.01-1.34, p = 0.005), primparae (OR= 6.4, 95% CI = 1.3-31.8, p = 0.001) and women who had medical disease (OR= 2.9, 95% CI= 1.16-7.6, p= 0.023) were at higher risk to deliver by caesarean delivery.

Conclusion: The rate of cesarean delivery in Kassala in the current study is17.8% and the elder women, primiapare and women with medical disorders were at a higher risk to deliver by caesarean delivery.

Keywords: Cesarean, Kassala, pregnancy, Sudan