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Non-Medical Determinants of Caesarean Deliveries in Ghana: A Logistic Regression Approach

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Document pages: 14 pages

Abstract: This study examined the non-medical factors that influence expectantmothers to opt for caesarean deliveries in Ghana. Data on 395expectant mothers across the ten regions of Ghana who were located in urban,semi-rural and rural areas, and spanned a period of five years (from 2012 to2016) were obtained from the Ghana Health Service. In fitting the logistic regression model, data on 355 expectant mothers (i.e. 89.9 of the data) was assigned to the analysis sample while40 (i.e. 10.1 ) was assigned to the hold-outsample. The hold-out sample together with other statistical measures of overallmodel fit, pseudo R2 measuresand classification accuracy were used to validate the results obtained from theanalysis sample. Significance was tested at p = 0.05. Determinants including, educational level of expectant mother, parity of expectant mother, baby’s birth weight,previous caesarean delivery, location of expectant mother, age of expectant mother and, period within the year of childbirth had a significant effect on caesarean delivery.The study recommended that health practitioners shouldbe able to foretell expectant mothers who are likely to undergo caesareandelivery in order for them to prepare financially and psychologically to avoid further complications. Due tothe significant positive attitude of women towards caesarean delivery ratherthan normal delivery, it is necessary to inform them about the advantages ofnormal delivery and the health hazards associated with caesarean delivery tothe mother and child.

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