Factors Associated and Immediate Adverse Neonatal Outcomes of Primary Cesarean Section among Multiparous Mothers Delivered at Lira Regional Referral Hospital: A Cross-sectional Study 

Factors Associated and Immediate Adverse Neonatal Outcomes of Primary Cesarean Section among Multiparous Mothers Delivered at Lira Regional Referral Hospital: A Cross-sectional Study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Factors Associated and Immediate Adverse Neonatal Outcomes of Primary Cesarean Section among Multiparous Mothers Delivered at Lira Regional Referral Hospital: A Cross-sectional Study Denis Dickson Omiat, Musa Kasujja, Maxwel Okello, Moses Emokol Okilipa, and 2 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-3983234/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version 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. primary cesarean section multiparous mothers prevalence associated factors neonatal outcomes Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-3983234","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":276338326,"identity":"86c3c636-555a-4765-a2de-ed1d7381aeb6","order_by":0,"name":"Denis Dickson 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outcomes","lastPublishedDoi":"10.21203/rs.3.rs-3983234/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-3983234/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eTitle:\u003c/h2\u003e \u003cp\u003e Factors Associated and Immediate Adverse Neonatal Outcomes of Primary Cesarean Section among Multiparous Mothers Delivered at Lira Regional Referral Hospital: A Cross-sectional Study.\u003c/p\u003e\u003ch2\u003eIntroduction:\u003c/h2\u003e \u003cp\u003eThe 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).\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eData 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.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eThe 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.\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003eThis 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.\u003c/p\u003e","manuscriptTitle":"Factors Associated and Immediate Adverse Neonatal Outcomes of Primary Cesarean Section among Multiparous Mothers Delivered at Lira Regional Referral Hospital: A Cross-sectional Study ","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-03-08 19:14:29","doi":"10.21203/rs.3.rs-3983234/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"1cfdab70-1132-468f-b33f-169643e96075","owner":[],"postedDate":"March 8th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2024-12-12T06:54:05+00:00","versionOfRecord":[],"versionCreatedAt":"2024-03-08 19:14:29","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-3983234","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-3983234","identity":"rs-3983234","version":["v1"]},"buildId":"cTy_lsJlmDsVRNrSptgXS","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}