To Determine the Prevalence, Indictions and Outcome of Caesarean Delivery at St. Gemma Hospital in Dodoma.
Material type:
Item type | Current library | Collection | Status | Barcode | |
---|---|---|---|---|---|
UNDERGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | NFIC | 1 | UD0552 |
Abstract:
Background: Cesarean section (CS) is a surgical procedure used to deliver one or more babies. CS is usually performed when vaginal delivery will put the mother or child’s health or life at risk. In recent years, the number of CS has risen worldwide. Since CS also involves risk for adverse outcome for both mother and child, concern has been expressed regarding its increased use.
Objective: The objective of the study was to assess the prevalence and different indications of caesarean section, and to identify the maternal and fetal outcome after the procedure at St. Gemma hospital in Dodoma.
Methodology: It was a retrospective study carried out in department of obstetrics and gynecology. The study involved a review of the hospital records of women who previously had delivery from March 2014- July 2015.
Results: Out of 1108 deliveries, 872 where normal vertex deliveries and 236 were CS. The prevalence of CS at St. Gemma hospital was 21.3%. The most common indication overall for CS was previous scar, it counted for 21.2%, followed by obstructed labor (17.4%), Malpresentation of the baby (12.7%), COPD (11.4%), poor progress of labor (10.6%) and NRFS (6.8%), were also commonly used as indications. There were one maternal death among 236 women who were operated. However, there were 4 deaths of infants after the procedure.
Conclusion: The rising prevalence of caesarean section was mainly due to previous caesarean section followed by obstructed labor. Certain measures have been recommended to curtail the increasing trend.
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