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Abstract Title: Factors Associated and Immediate Adverse Neonatal Outcomes of Primary Cesarean Section among Multiparous Mothers Delivered at Lira Regional Referral Hospital: A Cross-sectional Study. Introduction: The increasing prevalence of primary cesarean sections (CSs) among multiparous mothers has sparked substantial concern within the medical community. This study investigated the prevalence, associated factors, and immediate adverse neonatal outcomes of primary CS among multiparous mothers, with a focus on patients who delivered at Lira Regional Referral Hospital (LRRH). Methods Data were gathered from 321 multiparous mothers who gave birth at LRRH using an extensive research methodology. This study utilized both methodical medical record reviews and structured interviews to gather information on sociodemographic traits, obstetric history, and immediate neonatal outcomes. By using both bivariate and multivariate analyses, this research examined the variables that affect the probability of primary CS. Results The prevalence of primary CS among multiparous mothers was determined to be 22%. Fetal malpresentation (25.8%) and unsatisfactory fetal heart rate tracing (24.6%) emerged as the primary reasons for primary CS. This study revealed immediate adverse neonatal outcomes in 29.6% of patients, including low Apgar scores (54.6%) and neonatal intensive care unit admissions (36.4%). Significant associations were identified between primary CS and factors including marital status, history of hypertension, and history of diabetes mellitus. Conclusion This study provides vital insights into the prevalence, associated factors, and immediate adverse neonatal outcomes of primary CS among multiparous mothers at LRRH. The findings underscore the need for informed decision-making in obstetric care, aiming to reduce primary CS rates and enhance neonatal well-being.
Omiat et al. (Fri,) studied this question.