The Indications, Outcomes and Rate, of Caesarean Section at Bugando Medical Centre, September - October 2015
Emmanuel, Richard CUHAS/MD/4000314/T/09
The Indications, Outcomes and Rate, of Caesarean Section at Bugando Medical Centre, September - October 2015 - Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2016 - 28 Pages Includes References
Abstract:
There is a concern about the relative increase in the rate of C/S in health facilities despite the WHO recommendations of C/S rate being between 10% and 15% in developed countries. The complications of C/S can be less but of great health concern to both the maternal and fetal outcomes. Hence there is a need to assess for the and true indications of C/S in various health facilities as well as their frequent outcomes compared to vaginal deliveries. The objective of this study was to assess the rate, indications and the outcomes of caesarean section among pregnant women delivering at Bugando medical centre.
This was a prospective cross-sectional descriptive study and targeted population was all pregnant women who delivered at Bugando medical centre labour ward, between 21st September 2015 and 31st October 2015. Data were obtained from admission files and delivery books in labour wards and obstetric operations in theatres. A special questionnaire was need to collect data from admission files and delivery book in labour wards and obstetrics operation book in theatres. The data obtained and analyzed by using IBM-SPSS version 20.
The study found that out of 347 deliveries 191 (55.0%) were vaginal and 156 (45%) were caesarean sections. Among 45% caesarean sections there were almost 41 different types of indications for C/S which were further subdivided into several groups from which the most common indication was found to be previous C/S scars made up to 24.2% followed by Meconium stained liquor 21.2% and the least indication was ante partum hemorrhage 7% abnormal fetal presentation 10.9%, abnormal labour 18.5%, cephalopelvic disproportions 5.8%, hypertensive disorders in pregnancy 13% and others 6.4%. On fetal outcomes, 75.0% of fetus delivered through C/S were alive and healthy while lower APGAR score was the commonest C/S fetal complication with 12.8% followed by delayed breast feeding 9.0% premature fetus 1.9% and the least complication in frest still birth 1.3%.
But on maternal outcomes 99.4% survived 0.6% had post C/S hemorrhage requiring resuscitation and 0.00% maternal death.
By conclusion the rate of C/S at Bugando medical centre is 45% which was relatively high in comparisons to the recommended rate of 10% - 15% by the WHO. Previous C/S scars were the commonest indication of C/S while the least were ante partum hemorrhages within the study time. The commonest complication of all modes of deliveries at Bugando medical centre is lower Apgar score.
Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O. Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz : www.bugando.ac.tz
--Obstetrics and Gynecology
The Indications, Outcomes and Rate, of Caesarean Section at Bugando Medical Centre, September - October 2015 - Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2016 - 28 Pages Includes References
Abstract:
There is a concern about the relative increase in the rate of C/S in health facilities despite the WHO recommendations of C/S rate being between 10% and 15% in developed countries. The complications of C/S can be less but of great health concern to both the maternal and fetal outcomes. Hence there is a need to assess for the and true indications of C/S in various health facilities as well as their frequent outcomes compared to vaginal deliveries. The objective of this study was to assess the rate, indications and the outcomes of caesarean section among pregnant women delivering at Bugando medical centre.
This was a prospective cross-sectional descriptive study and targeted population was all pregnant women who delivered at Bugando medical centre labour ward, between 21st September 2015 and 31st October 2015. Data were obtained from admission files and delivery books in labour wards and obstetric operations in theatres. A special questionnaire was need to collect data from admission files and delivery book in labour wards and obstetrics operation book in theatres. The data obtained and analyzed by using IBM-SPSS version 20.
The study found that out of 347 deliveries 191 (55.0%) were vaginal and 156 (45%) were caesarean sections. Among 45% caesarean sections there were almost 41 different types of indications for C/S which were further subdivided into several groups from which the most common indication was found to be previous C/S scars made up to 24.2% followed by Meconium stained liquor 21.2% and the least indication was ante partum hemorrhage 7% abnormal fetal presentation 10.9%, abnormal labour 18.5%, cephalopelvic disproportions 5.8%, hypertensive disorders in pregnancy 13% and others 6.4%. On fetal outcomes, 75.0% of fetus delivered through C/S were alive and healthy while lower APGAR score was the commonest C/S fetal complication with 12.8% followed by delayed breast feeding 9.0% premature fetus 1.9% and the least complication in frest still birth 1.3%.
But on maternal outcomes 99.4% survived 0.6% had post C/S hemorrhage requiring resuscitation and 0.00% maternal death.
By conclusion the rate of C/S at Bugando medical centre is 45% which was relatively high in comparisons to the recommended rate of 10% - 15% by the WHO. Previous C/S scars were the commonest indication of C/S while the least were ante partum hemorrhages within the study time. The commonest complication of all modes of deliveries at Bugando medical centre is lower Apgar score.
Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O. Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz : www.bugando.ac.tz
--Obstetrics and Gynecology