EVALUATION OF OUTCOMES OF ELECTIVE CAESAREAN SECTION INTERVENTION IN PREGNANT WOMEN MANAGED AT CA MAU OBSTETRICS AND PEADIATRICS HOSPITAL YEAR 2023-2024

Thể Tần Nguyễn, Ngọc Linh Huỳnh, Quốc Vĩ Ngũ, Quang Khoá Trần

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Abstract

Objective: To evaluate the results of the reproductive health education and communication intervention on elective cesarean section in pregnant women in the first trimester at Ca Mau obstetrics and peadiatrics hospital year 2023-2024. Subjects and methods: Before-after intervention study on 295 pregnant women managed at Ca Mau obstetrics and peadiatrics hospital. Surveyed the rate of elective cesarean section, knowledge, and attitudes before and after the intervention. Results: After the intervention, the rate of elective cesarean section decreased from 36.95% before the intervention to 26.44% after the intervention, ARR=10.51 and NNT=9.51. The results also showed an increase in the rate of knowledge, correct attitudes after the intervention, correct knowledge increased from 29.83% to 37.63%; correct attitudes increased from 41.02% to 53.22%. Factors reducing the difference in elective cesarean section: urban residence, attitude, correct knowledge with OR were 0.31 CI95%[0.17-0.55]; 0.22 CI95%[0.13-0.39] và 0.51 CI 95%[0.31-0.83] respectively, the factors increasing the difference were older pregnant women, high income, previous cesarean section with OR were 1.44 CI95%[1.12-1.85]; 1.57 CI95%[1.14-2.17] and 6.01 CI95%[3.69-9.78]. Conclusion: Reproductive health education and communication intervention measures reduce the rate of elective cesarean section, increase the rate of pregnant women with correct knowledge and attitudes.

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References

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