Maternal Preference, Mode of Delivery and Associated Factors among Women Who Gave Birth at Public and Private Hospitals in Hawassa City, Southern Ethiopia

Zelalem Tenaw; Zemenu Yohannes Kassa; Getinet Kassahun; Animut Ayenew

doi:10.5334/aogh.2578

Figures & Tables

Table 1

Socio demographic and economic characteristics of mothers who gave birth at public and private hospitals in Hawassa city hospitals, Southern Ethiopia 2017, (n = 300).

Variables		Frequency	Percentage
Age	18–22	68	22.7
	23–27	100	33.3
	28–32	99	33.0
33–37	25	8.3
38–45	8	2.7
Religion	Orthodox Christian	86	28.7
	Protestant	145	48.3
	Muslim	56	18.7
Catholic	2	.7
Jehovah witness	3	1.0
other^Ω	8	2.7
Ethnicity	Sidama	106	35.3
	Wolayta	45	15.0
	Amara	62	20.7
Oromo	78	26.0
Other^©	9	3.0
Marital status	Single	9	3.0
Marital status	Divorced	3	1.0
Widowed	1	.3
Married	287	95.7
Occupation of the mother	House wife	137	45.7
	Government employed	73	24.3
	NGO employed	14	4.7
Private	44	14.7
Student	25	8.3
Other^®	7	2.3
Occupation of spouse	Farmer	55	18.3
	Government employee	115	38.3
	NGO employee	20	6.7
Private	95	31.7
Student	5	1.7
Other^€	10	3.3
Residency	Urban	233	77.7
Rural	67	22.3
Monthly income	Extreme poor	60	20.0
Monthly income	Under poverty	24	8.0
Above poverty	216	72.0
Educational status of mother	Illiterate	48	16.0
	Read and write	7	2.3
	Primary school complete	66	22.0
Secondary school complete	64	21.3
Above secondary school	21	7.0
Graduated from college or university	94	31.3

[i] Other^Ω: waqfetah, Traditional believer. Other^©: Silte, kaffa. Other^®: pension, merchant. other^€: pension.

Table 2

Obstetric characteristics of mothers who gave birth at public and private hospitals in Hawassa city hospitals, Southern Ethiopia 2017, (n = 300).

Variables		Frequency	Percentage (%)
Para	Nulipara	30	10.0
Para	Multipara	265	88.3
Grandpara	5	1.7
Pregnancy	Planned	280	93.3
Unplanned	20	6.7
Gestational age	Pre-term	26	8.7
Gestational age	Term	267	89.0
Post term	7	2.3
ANC follow up	Yes	285	95.0
No	15	5.0
Number of ANC visit	No visit	15	5
	1	6	2
	2	34	11.3
3	43	14.3
4	150	50
More than four	52	17.3
Referral status	Refer	90	30.0
Not refer	210	70.0
Day of admission	Working day	233	77.7
Other day	67	22.3
Time of admission	Morning	112	37.3
Time of admission	Midday	69	23.0
Evening	86	28.7
	Night	33	11.0
Previous pregnancy complication	Yes	72	24.0
No	228	76.0
Types of previous pregnancy complication	c/s scar	36	12
Types of previous pregnancy complication	still birth/neonatal loss	27	9
Over weight baby	4	1.3
Other^◈	5	1.7
Types of c/s	Elective c/s	42	14
Emergency c/s	106	35.3
Maternal preference of mode of delivery	Caesarean section	38	12.7
Spontaneous vaginal delivery	262	87.3

[i] Other^◈: Hypertension, obstructed labor.

Decision for caesarean section delivery in Hawassa city hospitals.

Table 3

Factors associated with caesarean section delivery among mothers who gave birth at public and private hospitals in Hawassa city hospitals, Southern Ethiopia, 2017 (n = 300).

Characteristic/s		C/S delivery		OR (95% CI)		P-Value
Characteristic/s		Yes	No	Crude	Adjusted	P-Value
Age	18–32	130	137	0.79 (0.38–1.63)
33–45	18	15	1.00
Residency	Urban	118	115	1.27 (0.73–2.18)
Rural	30	37	1.00
Marital status	Married	144	143	2.27 (0.68–7.52)
Not married	4	9	1.00
Monthly Income	Above poverty	115	101	1.76 (1.05–2.94)*	3.78 (1.86–7.69)**	0.00
Under poverty	33	51	1.00	1.00
ANC follow-up	Yes	139	146	0.64 (0.22–1.83)
No	9	6	1.00
Pregnancy	Planned	142	138	2.40 (0.89–6.43)
Un planned	6	14	1.00
GA	Term	133	134	1.19 (0.58–2.46)
Pre/post-term	15	18	1.00
Day of admission	Working day	110	123	0.68 (0.39–1.18)
Weekend	38	29	1.00
Previous pregnancy complication	Yes	55	17	4.69 (2.56–8.59)*	4.63 (2.15–9.97)**	0.000
No	93	135	1.00	1.00
Condition of mother	Stable	141	147	0.68 (0.21–2.20)
Unstable	7	5	1.00
Parthograph follow up	Yes	105	43	1.00	1.00
No	143	9	0.15 (0.72–0.33)*	0.12 (0.04–0.32)**	0.000
Amniotic fluid	Rupture	30	28	1.13 (0.64–1.99)
Intact	118	124	1.00
Current obstetrics problem	Yes	50	26	2.48 (1.44–4.25)*	8.15 (4.25–15.62)**	0.000
No	98	126	1.00	1.00
Number of senior	Two	40	25	1.88 (1.07–3.23)*	0.57 (0.06–5.47)	0.63
More than two	108	127	1.00	1.00
Payment for delivery	Yes	39	20	2.36 (1.30–4.29)*	4.55 (0.44–47.34)	0.20
No	109	132	1.00	1.00
Parity	Prime Para	18	12	1.62 (0.75–3.48)
Multi Para	130	140	1.00
Types of hospital	Public	109	131	0.45 (0.25–0.80)*	0.56 (0.28–1.07)
Private	39	21	1.00

[i] * P-value ≤ 0.25.

** Adjusted for socio-demographic characteristics and some concepts of Mode of delivery.

Table 4

Factors associated with maternal preference for caesarean section delivery among who gave birth at public and private hospitals in Hawassa city hospitals, Southern Ethiopia 2017, (n = 300).

Characteristics		Maternal Preference C/S delivery		OR (95% CI)		P-Value
Characteristics		Yes	No	Crude	Adjusted	P-Value
Age	18–32	35	232	1.51 (0.19–2.29)
33–45	3	30	1.00
Residency	Urban	35	198	0.27 (0.08–0.89)*	2.45 (0.61–10.12)	0.204
Rural	3	64	1.00	1.00
Marital status	Married	36	251	0.79 (0.17–3.70)
Not married	2	11	1.00
Monthly Income	Above poverty	33	183	2.85 (1.07–7.57)*	2.24 (0.69–7.26)	0.178
Under poverty	5	79	1.00	1.00
ANC follow-up	Yes	36	249	0.94 (0.20–4.34)
No	2	13	1.00
Pregnancy	Planned	36	244	1.33 (0.29–5.96)
Un planned	2	18	1.00
GA	Term	36	231	2.42 (0.55–10.50)	1.99 (0.37–10.72)	0.42
Pre/post-term	2	31	1.00	1.00
Previous Pregnancy complication	Yes	25	47	8.80 (4.19–18.45)*	10.02 (4.50–22.33)**	0.000
No	13	215	1.00	1.00
Parthograph follow up	Yes	23	225	0.25 (0.12–0.53)*	0.25 (0.10–0.62)**	0.002
No	15	37	1.00	1.00
Amniotic fluid	Rupture	4	54	0.45 (0.15–1.33)
Intact	34	208	1.00
Current obstetrics problem	Yes	11	128	0.43 (0.20–0.89)*	0.53 (0.22–1.29)	0.164
No	27	134	1.00	1.00
Payment for delivery	Yes	9	50	1.32 (0.59–2.96)
No	29	212	1.00
Parity	Prime Para	2	28	0.46 (0.17–2.03)
Multi Para	36	234	1.00

[i] * P-value ≤ 0.25.

** Adjusted for socio demographic characteristic/s and some concepts of maternal.

Maternal Preference, Mode of Delivery and Associated Factors among Women Who Gave Birth at Public and Private Hospitals in Hawassa City, Southern Ethiopia

Figures & Tables

Table 1

Table 2

Figure 1

Table 3

Table 4

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