Fetal Outcome and mode of delivery in women with one previous caesarean section at Bugando Medical Centre, Mwanza, Tanzania (Record no. 22352)

MARC details
000 -LEADER
fixed length control field 04726nam a22003617a 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193927.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 220203b |||||||| |||| 00| 0 eng d
028 ## - PUBLISHER OR DISTRIBUTOR NUMBER
Source Phone: +255 28 298 3384
Source Fax: +255 28 298 3386
Source Email: vc@bugando.ac.tz
Source Website: www.bugando.ac.tz
040 ## - CATALOGING SOURCE
Transcribing agency Data centre
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
Language code of text/sound track or separate title Kiswahili
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Amina O Mhando
Dates associated with a name CUHAS/MD/4001987/T/17
9 (RLIN) 30414
210 ## - ABBREVIATED TITLE
Source “Research report submitted in partial fulfillment for the award of Doctor of Medicine Degree at Catholic University of Health and Allied Science(CUHAS)’
Abbreviated title LIST OF ABREVIATION BC Before Christ BMC Bugando Medical Centre CDC Centre for Disease Control C/S Caesarean section CUHAS Catholic University of Health and Allied Science ERCS Elective repeated caesarean section NICU Neonatal intensive care unit TOS Trail of scar VBAC Vaginal birth after caesarean section WHO World Health Organization
222 ## - KEY TITLE
Key title OPERATIONAL DEFINITIONS
Qualifying information Caesarean section means delivery of the foetus, membrane and placenta after 28weeks of the gestation by opening of the abdomen and uterus.
Key title OPERATIONAL DEFINITIONS
Qualifying information Elective Repeated caesarean section – operation that done at a pre-selected time before onset of labour, usually at completed 39 weeks.
Key title OPERATIONAL DEFINITIONS
Qualifying information TOL – trial of labor after caesarean section to achieve VBAC.
Key title OPERATIONAL DEFINITIONS
Qualifying information Cephalo-pelvic Disproportion(CPD)- is failure of the foetus to pass safety through the birth canal because the fetal head being relatively larger than maternal pelvic size.
245 ## - TITLE STATEMENT
Title Fetal Outcome and mode of delivery in women with one previous caesarean section at Bugando Medical Centre, Mwanza, Tanzania
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences [CUHAS – Bugando]
Date of publication, distribution, etc. ©02.08.2021
300 ## - PHYSICAL DESCRIPTION
Extent Pages 33
Extent Includes Refferences and Appendices
520 ## - SUMMARY, ETC.
Summary, etc. ABSTRACT:<br/><br/>Background: Caesarean delivery is an operation done to deliver a baby through an incision in the uterus. It is the most frequently performed surgical procedure worldwide, rates of the caesarean delivery across countries ranges from 10% to 40%. The causes can be due to cephalopelvic disproportion, uterine inertia, placenta previa, malposition and malpresentation, fetal distress and other more. Previous caesarean section has been found to be the commonest cause of increased caesarean section in many parts of the world. <br/>This research was done in order to assess fetal outcome and mode of delivery in women with one previous caesarean section at Bugando Medical Centre, Mwanza-Tanzania.<br/><br/>Methodology: The retrospective study conducted in Medical Records Department at Bugando Medical Centre, Nyamagana district, Mwanza-Tanzania from October 2021 to December 2021. The study was hospital based involving files of female patients who had history of one previous caesarean section, data were filled in questionnaire forms and entered and analyzed using SPSS software version 20.<br/><br/>Results: A total of 150 files of women with previous one caesarean section delivery, were included in the study. Age of the patients ranged from 19 to 43 years with a mean age of 29.67 years with mode of 33 years.42 women (28.0%) had ERCS ,13women (8.7%) had successful VBAC and 95women (63.3%) had emergency Caesarean section this was due to failure TOS and other obstetric indications apart from failed VBAC. the fetal outcome of the women was as, majority of newborns weighted 2.5 to 4.0 kg 111(74.0%),32(21.3%) weighted less than 2.4kg and 7(4.7%) of neonates had weight of more than 4kg.Among the neonates death was 7(4.7%) which included stillbirth and those died shortly after birth and 143(95.3%) were alive, with fifth minute Apgar score 9(6.0%) had score of < 7 ,137(91.3%) had score of greater or equal to 7 and 4(2.7%) had score of 0.Out of the 150 newborn both dead and alive 54(36.0%) required ICU admission due to various reasons and 96(64.0%) had no ICU admission.<br/><br/>Conclusion: From the study majority of women with one previous Cesarean section undergo emergence C/S .Fetal outcome in all mode of delivery in women with one previous C/S is general good. <br/>
600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME
General subdivision Obstetrics & Gynecology
9 (RLIN) 30267
General subdivision Hematology
9 (RLIN) 32717
General subdivision Pathology
9 (RLIN) 15818
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 23099
9 (RLIN) 19647
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type UNDERGRADUATE DISSERTATIONS
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Collection Home library Current library Shelving location Date acquired Total checkouts Barcode Date last seen Price effective from Koha item type
            MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO   02/03/2022   UD2571 02/03/2022 02/03/2022 UNDERGRADUATE DISSERTATIONS
Catholic University of  Health and Allied Sciences - CUHAS
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