Prevalence, indications and outcomes of caesarean sections at Bugando Medical Centre
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Abstract:
Background: Currently, worldwide there have been a problem on the rising trends of Caesarean Section that is above the limits recommended by WHO, that in year caesarean rates should not exceed 10-15% because rates greater than that is associated with complications to the mother and fetus just as any operation. So, aim of the study was to determine the prevalence, indications, maternal and fetal outcome of caesarean section at BMC in a six month period from January to June.
Methodology: A cross sectional study was conducted involving all pregnant women who were delivered at BMC from January to June in 2019. Data was collected using checklist to capture information from file, and post-operative notes of caesarean deliveries. Data was then analysed SPSS version 21.
Results: The prevalence was 37%, Mean age among respondents was 32 years with majority of the respondents being from urban resident and at least half of them attained secondary education. Most of the women who underwent CS were nulliparous and majority of them were single. The top indications for caesarean deliveries were fetal distress (41.1%), obstructed labour (26.6%), previous CS (22.0%), and then followed by pre eclampsia (2.6%), mal presentation (1.6%), anti-partum hemorrhage and eclampsia (1.30%). Most of the women recovered without complications while only few of them developed septicemia (4.0%), PPH (2.0%) and internal organ injury (0.3%) with no any maternal death. Majority of fetus recovered without complications while few developed birth asphyxia (10.0%), birth defects (0.3%) and prematurity (9%).
Conclusion: The prevalence of Caesarean section in high, common indication being fetal distress, majority of mothers and fetuses had no complication.
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