Associated Factors of Caesarean Section in Ethiopia Using 2016 Demographic Health Survey Data; Community Based Cross Sectional Study

Background: In Ethiopia, caesarean section delivery has become a popular method preferred by mothers and husbands recently. Identifying associated demographic health factors to increase the rate of caesarean section is desirable in Ethiopia.Methods Community based cross-sectional study design was conducted among women in the reproductive age group (age 15–49) in Ethiopia. The analysis was based on data from mothers who had given at least one birth during the five years preceding the survey. The data are accessed from 2016 Ethiopian Demographic Health Survey. The study was applied multilevel logistics regression model.Results Mothers were urban residence more undergoing to C-section than those rural. More educated mothers were more delivering with C-section compared with those illiterate. A mother had multiple pregnancy more delivering with c-section than those single pregnancy (p = 0.0001). A mother had been higher body mass index were more likely to delivering with caesarean section than those smaller body mass index (p = 0.0001). Caesarean section was increased when mothers goes to elder (p = 0.0001).Conclusions The finding of this study was mothers education level, Birth order, preceding birth interval, multiple pregnancy, maternal age and interaction effect BMI with household wealth index was statistically significant associated factors to increase rate of caesarean section. Residence and region was community level factors to increase caesarean section delivery. Therefore; community awareness and perception creation towards caesarean section with its side effect is essential in Ethiopia.