Abstract:

Background: caesarian section became most practiced procedure in obstretic for failure to deliver vaginally. Prevalence of C/S in Tanzania increased three times from 2% in 1996 to 6% in 2015, while major indication includes previous scar and prolonged labour and most occurred complications are infections, pain, bleeding fistula and others.

Objectives: to determine prevalence of C/S, indications and complications of SC at amana regional referral hospital, Dar es salaam.

Methodology: Across sectional descriptive study done at amana regional referral hospital to determine prevalence, indications and complications of caesarean section. The study conducted for one month in which 100 mothers delivered by C/S enrolled and agreed to participate collectively. The checklist was used as tool to collect data from the enrolled participants.

Results: the study involve 100 mother delivered by C/S studied and participated collectively. The prevalence of caesarean section was 22% in which 3005 mothers out of 15848 mother’s derived by cesarean section. The main indications were previous scar as 29(29%), prolonged labour 21(21%) and non-reasuring fatal status by 16 (16%). Other indications were preeclampsia as 9(9%), microsomia 8%, big baby 5(5%), post terms pregnancy 4 (4%), antepartum haemorrhage 4(4%) and PROM 4 (4%). The main complications were pain for all, severe haemorrhage 20% and SSI 1%.

Conclusions and recommendations: there is a higher prevalence of C/S at Amana hospital compared to the mean prevalence in Tanzania and previous scar become a leading indication followed by prolonged labour and non-reasuring fetal status. The commonest complications were pain and haemorrhage while SSI is rare one. So the facility have to increase the pain control and consider the risk of blood loss. Also the government have to provide education based on preventing rise of C/S and another study should be done to assess the fetal outcome.