Reducing unnecessary cesarean section rate in Ethiopia

Phase 1

• Conditions: Pregnancy and Childbirth; Fertility-female; Caesarean section

• Registration Number: PACTR202310664101480
• Lead Sponsor: Woldia University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2023-10-06
• Last Update Posted: 4 March 2024

Recruitment & Eligibility

• Status: Pending
• Sex: Female
• Target Recruitment: 938

Inclusion Criteria

For the hospitals:
1. minimum of 150 caesarean sections for nulliparous women per year
3. The permanent availability of emergency caesarean section
4. The absence of current or recent interventions targeted at the indications and interventions associated with caesarean section
5. Willingness to participate in the study is materialized by a written and signed ward agreement by the hospital director and the head of the maternity unit
6. District or regional hospital
For pregnant women
All nulliparous pregnant women who have no identified medical contraindications to vaginal delivery, who have had antenatal follow-up, and who are planning to give birth at either of the selected health institutions will be included in the study. Women who are over 18 but less than 35 years of age and have no existing medical or obstetric indications such as high blood pressure, diabetes, hyperthyroidism, or habitual abortion, and whose pregnancy signs are stable, will be invited to participate in this study.
For the health professionals:
All health professionals who provide antenatal care and childbirth services, and who are involved in the decision-making process for the mood of childbirth will be included in the study.

Exclusion Criteria

For the hospitals:
1.Teaching hospitals
2.Private hospitals
For the patients:
1.Women who have known psychiatric and medical diseases, multiple pregnancies, or pregnancies complicated by congenital abnormalities
2.Women started antenatal care in the hospitals but whose caesarean section was performed in another hospital

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The effect of the intervention will be measured by the change in the rate of non-medically justified caesarean sections among nulliparous women between the periods before and after the intervention. <br>The caesarean section will be defined as Non-medically indicated if it was done for indications that don’t fulfil the clinical algorithm for CS decision-making. In addition caesarean section done for women and provider preference will also be considered as Non- medically indicated CS.

Secondary Outcome Measures

Name	Time	Method
The secondary outcomes of the study will be the factors and indications of non-medically indicated CS.<br>Feto-maternal outcomes of CS and vaginal delivery in nulliparous pregnant woman.