000 02817nam a22003017a 4500
001 CUHAS/MD/4001540/T/15
003 CUHAS/MD/4001540/T/15
005 20240305193854.0
008 210810b |||||||| |||| 00| 0 eng d
028 _bPhone: +255 28 298 3384
028 _b Fax: +255 28 298 3386
028 _b Email: vc@bugando.ac.tz
028 _bWebsite: www.bugando.ac.tz
040 _cDLC
041 _aEnglish
041 _aKiswahili
100 _aMwalusambo, Erick. Sosten
_921288
_dCUHAS/MD/4001540/T/15
245 _aPrevalence, Indications, Maternal and Fetal Outcome of Cesarean Section Among Pregnant Women Delivered at Bugando Medical Centre.
260 _aMwanza, Tanzania:
_bCatholic University of Health and Allied Sciences [CUHAS - Bugando] :
_c ©09.10.2020
300 _avi; 31 Pages
300 _aIncludes References and Appendices
520 _aAbstract: Background: Cesarean section is the procedure in surgery done to deliver a baby when vaginal delivery endanger the baby’s or mother life or healthy. Cesarean section is the common surgical operation now and most estimated prevalence range of 4% in Africa and 29% in Latin America and Caribbean. There have been a number of uncompulsory indications for CS like elective CS, prolonged labor and decreasing option for vaginal birth after CS for women. Also CS involves risks for adverse outcome for both mother and child. This brings negative economy and health related repercussions. Methods: This was a retrograde study which involved 339 pregnant women and was conducted at Bugando Medical Centre. The management and analysis of data was done using SPSS software version 20. The study duration started from September 2019 to November 2019, data was collected checklist and the clearance to carry out this study was sought from the joint CUHAS and BMC Research, Ethics and Review committee. Result: The prevalence of primary CS in this study was 21.8% and the leading indications were fetal distress, obstructed labor, cephalopelvic disproportion, big baby and others in that order. Fetal outcome majority had no complication with few having birth asphyxia and low APGAR score. The maternal outcome was postpartum hemoharrge. Conclusion: Based on the findings of the current study, it is recommended that there should be an innovative structured educational programme of training, seminars or workshops for healthcare providers so that they focus on the recommended indications for primary CS deliveries. This should be achieved by proper adherence to the guidelines for CS from the association and obstetricians of Tanzania.
600 _xObstetrics and Gynecology
600 _xParasitology
700 _a Rumanyika, Richard
_919761
700 _aMaria Zinga
942 _2ddc
_cCR
999 _c21217
_d21217