000			04726nam a22003617a 4500
003			OSt
005			20240305193927.0
008			220203b |||||||| |||| 00| 0 eng d
028			_bPhone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_bEmail: vc@bugando.ac.tz
028			_b Website: www.bugando.ac.tz
040			_cData centre
041			_aEnglish
041			_aKiswahili
100			_a Amina O Mhando _d CUHAS/MD/4001987/T/17 _930414
210			_2 “Research report submitted in partial fulfillment for the award of Doctor of Medicine Degree at Catholic University of Health and Allied Science(CUHAS)’ _aLIST OF ABREVIATION BC Before Christ BMC Bugando Medical Centre CDC Centre for Disease Control C/S Caesarean section CUHAS Catholic University of Health and Allied Science ERCS Elective repeated caesarean section NICU Neonatal intensive care unit TOS Trail of scar VBAC Vaginal birth after caesarean section WHO World Health Organization
222			_aOPERATIONAL DEFINITIONS _b Caesarean section means delivery of the foetus, membrane and placenta after 28weeks of the gestation by opening of the abdomen and uterus.
222			_aOPERATIONAL DEFINITIONS _bElective Repeated caesarean section – operation that done at a pre-selected time before onset of labour, usually at completed 39 weeks.
222			_aOPERATIONAL DEFINITIONS _bTOL – trial of labor after caesarean section to achieve VBAC.
222			_aOPERATIONAL DEFINITIONS _bCephalo-pelvic Disproportion(CPD)- is failure of the foetus to pass safety through the birth canal because the fetal head being relatively larger than maternal pelvic size.
245			_aFetal Outcome and mode of delivery in women with one previous caesarean section at Bugando Medical Centre, Mwanza, Tanzania
260			_aMwanza, Tanzania: _bCatholic University of Health and Allied Sciences [CUHAS – Bugando] _c©02.08.2021
300			_aPages 33
300			_aIncludes Refferences and Appendices
520			_aABSTRACT: Background: Caesarean delivery is an operation done to deliver a baby through an incision in the uterus. It is the most frequently performed surgical procedure worldwide, rates of the caesarean delivery across countries ranges from 10% to 40%. The causes can be due to cephalopelvic disproportion, uterine inertia, placenta previa, malposition and malpresentation, fetal distress and other more. Previous caesarean section has been found to be the commonest cause of increased caesarean section in many parts of the world. This research was done in order to assess fetal outcome and mode of delivery in women with one previous caesarean section at Bugando Medical Centre, Mwanza-Tanzania. Methodology: The retrospective study conducted in Medical Records Department at Bugando Medical Centre, Nyamagana district, Mwanza-Tanzania from October 2021 to December 2021. The study was hospital based involving files of female patients who had history of one previous caesarean section, data were filled in questionnaire forms and entered and analyzed using SPSS software version 20. Results: A total of 150 files of women with previous one caesarean section delivery, were included in the study. Age of the patients ranged from 19 to 43 years with a mean age of 29.67 years with mode of 33 years.42 women (28.0%) had ERCS ,13women (8.7%) had successful VBAC and 95women (63.3%) had emergency Caesarean section this was due to failure TOS and other obstetric indications apart from failed VBAC. the fetal outcome of the women was as, majority of newborns weighted 2.5 to 4.0 kg 111(74.0%),32(21.3%) weighted less than 2.4kg and 7(4.7%) of neonates had weight of more than 4kg.Among the neonates death was 7(4.7%) which included stillbirth and those died shortly after birth and 143(95.3%) were alive, with fifth minute Apgar score 9(6.0%) had score of < 7 ,137(91.3%) had score of greater or equal to 7 and 4(2.7%) had score of 0.Out of the 150 newborn both dead and alive 54(36.0%) required ICU admission due to various reasons and 96(64.0%) had no ICU admission. Conclusion: From the study majority of women with one previous Cesarean section undergo emergence C/S .Fetal outcome in all mode of delivery in women with one previous C/S is general good.
600			_x Obstetrics & Gynecology _930267
600			_xHematology _932717
600			_xPathology _915818
700			_a Richard Rumanyika _923099
700			_aErius Tebuka _919647
942			_2ddc _cCR
999			_c22352 _d22352