Abstract:

Introduction: Caesarean sections are effective in saving maternal and infant lives, but only when they are required for medically indicated reasons. At population level, caesarean section rates higher than 10% are not associated with reductions in maternal and newborn mortality rates. Caesarean sections can cause significant and sometimes permanent complications, disability or death particularly in settings that lack the facilities and/or capacity to properly conduct safe surgery and treat surgical complications.

Methodology: The retrospective study for 147 women undergone caesarean section from January 2019 to December 2019 at Mbeya Zonal referral and consultant hospital.

Results: Among 147 women undergone caesarean section the leading indication was two or more previous scars 40(27.2%), followed by obstructed labour 31 women (21.1%), 23(15.6%) fetal distress, Cpd 15 women (10.2%), fetal malpresentation 9 women (6.1%), APH 7 women (4.8%), other minor indications like bad obstetric history 14(9.5%). The leading complication of caesarean section was 5% 21.4% in almost all indications of CS followed by organ injury ranging 1% 14% in all indications and indications carry less than 5% each.

Conclusion: Findings show that indications patterns of caesarean section, complication patterns of caesarean section at MZRH corresponds the data in other zonal and referral hospitals in Tanzania. Where the leading indications in many consultant hospitals are either obstructed labour and 2 previous scars. Also finding show that the most cause of morbidity in most post cs women is surgical site infection and it corresponds to other consultant hospital datas.