Abstract:

Introduction: A caesarian section (often C-section) is the surgical procedure in which one or more incisions are made through mother’s abdomen and uterus to deliver one or more babies. It is used as third option when normal vaginal delivery or assisted vaginal delivery would put either mother or child at risk. The WHO recommends that total percentages within the country should not exceed 15% but nowadays most of the countries exceed the limit recommended by WHO.

Objective: Was to assess indications used in performing caesarean section and outcomes.

Methodology: My field attachment was conducted at Mlimba health center which is located in Kilombero district Morogoro region and it includes any pregnant woman who came for delivery at labor unit from 12th August to 18th October 2016 and data were collected from theatre surgery book and medical record book.

Results: I participated in management of about 290 pregnant women who came for delivery, where 89 women delivered by caesarean section (30%) and 201 women delivered by spontaneous and assisted vaginal delivery (70%). Among the caesarean section done previous scar 29.2%, fetal distress 23.6%, obstructed labor 20.2%, failure to progress in labor 14.6%, antepartum hemorrhage 12.4%.

Conclusion: From my field work it shows percentages of caesarean section is above the limit of WHO recommendation of at least not more 15% of total delivery. This is due to lack of enough skilled personal’s and equipments for good monitoring so most of the time c section were done based clinical view especially under indication of fetal distress where it can be proved by Doppler fetoscope if true fetal distress present.