المضاعفات الامومية والعوامل المرتبطة بها لدى الأمهات والمتعلقة بنوع العملية القيصرية

Maternal Complications and Associated Factors among Mothers Related to the Type of Cesarean Section

Abstract

Background: Complications and factors associated with different types of
cesarean sections (C/S) among mothers represent an important area of study
in maternal health. Caesarean sections, whether elective or emergency, are
common surgical procedures aimed at ensuring the safety of both mother and
baby during birth. Therefore, the study aimed to evaluate complications and
factors associated with different types of C/S among mothers .
Method: A cross-sectional descriptive study conducted at the Obstetrics and
Gynecology Hospital in the city of Karbala for the period from December
15th, 2023 to March 19th, 2024. The sample of the study included 270 mothers
who were selected according to the non-probability sampling method. The
questionnaire was validated by experts and its reliability was verified through
a pilot study. Data was collected through the interview method and analyzed
by applying descriptive and inferential statistical analysis .
Results: The study results reveal several important associations regarding
factors influencing the likelihood of elective cesarean delivery. Mothers under
20 years of age (P = .000), uneducated mothers (P = .000), those giving birth
at term (P = .000), those with a history of previous C/S (P = .000), and nonadherence
to prenatal care ( P = .000), and women with pregnancy-related
illnesses ( P = .000) showed significantly higher propensities for elective
cesarean section, with odds ratios ranging from approximately 2.5 to 25 .
Conclusions: The study identifies different factors associated with different
types of C/S and postpartum complications, with maternal age less than 20
years, lack of education, post-term birth, previous caesarean sections,
irregular antenatal care attendance, and pregnancy-related illnesses
significantly increasing the likelihood elective C/S. Health care providers
should consider these factors when making delivery decisions and prioritize
comprehensive prenatal care and education programs for at-risk populations.