000			02679nam a22003137a 4500
001			CUHAS/MD/4000758/T/11
003			CUHAS/MD/4000758/T/11
005			20240305193824.0
008			210804b |||||||| |||| 00| 0 eng d
028			_bWurzburg Road 35, BMC Premises, Post Code: 33102:
028			_b P. O. Box 1464, Mwanza – Tanzania:
028			_bPhone: +255 28 298 3384:
028			_bFax: +255 28 298 3386:
028			_bEmail: vc@bugando.ac.tz :
028			_b www.bugando.ac.tz
035			_aCUHAS/MD/4000758/T/11
040			_bEnglish _cDDC
041			_aEnglish
041			_aKiswahili
100			_a Melaly, Mahenge. T _dCUHAS/MD/4000758/T/11 _920460
245			_aTo Determine the Prevalence, Indictions and Outcome of Caesarean Delivery at St. Gemma Hospital in Dodoma.
260			_aMwanza, Tanzania: _bCatholic University of Health and Allied Sciences [CUHAS – Bugando] : _c©2016
300			_a ix; 33 Pages
300			_aIncludes References
520			_aAbstract: 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.
600			_xObstetrics and Gynecololgy
700			_a Mbena, Happiness _920455
942			_2ddc _cCR
999			_c20595 _d20595