Cesarean Delivery in Uganda: A Mixed Methods Study
CRADLING
1 other identifier
observational
9,000
1 country
14
Brief Summary
Recent data indicate that 1 in 5 women worldwide undergo Caesarean sections (CS) and in most regions CS rates are increasing. Sub-Saharan Africa has the lowest CS rate at 3.5%, compared to a global average of 19.1%. However, there is emerging evidence for a double burden in low-income countries, with low national CS rates masking both overuse and underuse. While national CS rates may remain stagnant, disaggregation by wealth, location, and education level reveal disparities in rate. The purpose of this study is to understand the Caesarean delivery in Uganda by examining CS rates, factors associated with CS and maternal and neonatal outcomes across institutions using the Robson classification.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started May 2021
Typical duration for all trials
14 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2021
CompletedFirst Submitted
Initial submission to the registry
July 27, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2022
CompletedFirst Posted
Study publicly available on registry
October 19, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2023
CompletedOctober 19, 2023
October 1, 2023
1.3 years
July 27, 2021
October 18, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Cesarean section rate
as above
3 months
Secondary Outcomes (2)
Severe Maternal Outcome
up to hospital discharge, an average of 3 days
Adverse Perinatal Outcome
up to hospital discharge, an average of 3 days
Eligibility Criteria
All women admitted to the labor wards of participating institutions
You may qualify if:
- Delivery at a regional referral hospital or private not for profit hospital participating in the study
You may not qualify if:
- none
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (14)
Mengo Hospital
Kampala, Central Region, Uganda
Naguru General Hospital
Kampala, Central Region, Uganda
Uganda Martyrs' Hospital Lubaga
Kampala, Central Region, Uganda
Fort Portal Regional Referral Hospital
Fort Portal, Uganda
Gulu Regional Referral Hospital
Gulu, Uganda
Hoima Regional Referral Hospital
Hoima, Uganda
Jinja Regional Referral Hospital
Jinja, Uganda
Kabale Regional Referral Hospital
Kabale, Uganda
Nsambya Hospital (St. Francis Hospital Nsambya)
Kampala, Uganda
Lira Regional Referral Hospital
Lira, Uganda
St Mary's Hospital
Lira, Uganda
Masaka Regional Referral Hospital
Masaka, Uganda
Mbale Regional Referral Hospital
Mbale, Uganda
Mbarara Regional Referral Hospital
Mbarara, Uganda
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor of OB/GYN
Study Record Dates
First Submitted
July 27, 2021
First Posted
October 19, 2023
Study Start
May 1, 2021
Primary Completion
August 31, 2022
Study Completion
December 31, 2023
Last Updated
October 19, 2023
Record last verified: 2023-10
Data Sharing
- IPD Sharing
- Will not share