TY  - BOOK
AU  -  Rhoda. D. Kafuku 
AU  -  Richard Rumanyika
AU  - Karol Julius Marwa 
TI  - Prevalence, Indications and Fetal-Maternal Outcomes of   Caeserian Section among   Pregnant Women Deliverying at Geita Regional Referral Hospital
PY  - 2023///
CY  - Mwanza, Tanzania
PB  -  Catholic University of Health and Allied Sciences [CUHAS – Bugando]
KW  -  
N2  - Abstract:

Background: Caesarean section rates have increased worldwide in recent decades, Caesarean section is an essential maternal healthcare services, however, it has both maternal and neonatal adverse outcomes, therefore this study is aimed to estimate the pooled prevalence of Caesarean section deliveries and to determine the indications and fetal-maternal outcomes of Caesarean section deliveries at Geita regional referral hospital.

Objective: To determine the prevalence, indications and fetal-maternal outcome of caesarean sectionn  among  adult pregnant  women  delivering  at  Geita  regional  referral  hospital.

Methodology: A prospective descriptive Hospital -based cross section  study was done for determining prevalence, indications and Fetal-maternal outcome of caesarean section among   adult pregnant  women  delivering  at the obstetrics  unit  of Geita  regional  referral  hospital from January to march 2023 ,Simple random technique was  applied to the sample size of 219 people ,the data were  obtained by the use of structured questionnaire, the collected data were  analyzed using SPSS  version 20 software.

Results: In three  month   time (January 2023_March 2023), there were 1,285 deliveries, of which 272  were delivered by cesarean section which gives the overall rate of 21.2%.The most common indications for cesarean section were Cephalo-pelvic Disproportion  71(32.4%) followed by obstructed  labor  (32 %)  ,the most maternal complication was surgical  site  infection  42 (19.2%) and most neonatal  complications  were neonatal  sepsis  14 (6.4%) followed Low Apgar  score  13 (5.9%)and births  asphyxia  12 (5.5%).

Conclusion: In this study, there is a steady increase in the rates of cesarean delivery in five years' time, the overall rate of C-section in Jugal Hospital was 29.7%. This rate is higher than the World Health Organization standard. Policies and efforts aimed at decreasing the unnecessary cesarean sections should be promoted and implemented at each health facility.

ER  -