Abstract:
Introduction: Caesarean section is a surgical procedure used to prevent or treat life-threatening
maternal or fetal complications. Women's delivery preferences have become a global issue of interest to
many researchers and clinicians, especially given the ever-increasing rate of caesarean sections. There is
limited data on the preference of caesarean delivery for Ethiopian women particularly in the study
area.
Objectives: To assess preference of caesarean delivery and its associated factors among pregnant
women attending antenatal care at public health facilities of Debre Berhan town, Ethiopia 2023.
Methods: An institution based cross-sectional study design was done from May 5-20, 2023
among 512 participants and a multi stage sampling technique was used. The data was collected by
using an interviewer administered semi structured questionnaires. The data was entered by Epi
Data version 4.6, then transferred to SPSS version 25 for analysis. With logistic regression those
variables with a p-value <0.25 in the bi variable analysis was candidate to multivariate logistic
regression and variables with a p-value <0.05 was considered statistically significant.
Result: The preference of cesarean section was, 133 (26%) with CI (22.3%, 29.9%). Women with
previous satisfaction on intra partum care (AOR; 6.3 CI=(3.5-11), not knowledgeable to caesarean
delivery(AOR;2.9; 95%CI=1.6-5.3),history previous spontaneous abortion(AOR;3.1;
95%CI=(1.5-6.3) residence(AOR;1.9 95%CI=(1.0-3.5) and current pregnancy related
problem(AOR;4.9 95% CI=1.9-10) were significantly associated with Preference of caesarean
delivery.
Conclusion and recommendation: In this study the preference of cesarean delivery was high as
compared to world health organization recommendation. Previous Satisfaction on intra partum
care, current pregnancy related obstetric problem, Knowledge of the Respondents towards
caesarean delivery, Previous spontaneous abortion, Residence were significantly associated with
Preference of caesarean delivery. Designing strategies to enhance maternal satisfaction by
strengthening adherence to intra partum care.
