000			02956nam a22002897a 4500
003			OSt
005			20240305193950.0
008			220205b |||||||| |||| 00| 0 eng d
028			_b Phone: +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			_cData centre
041			_aEnglish
041			_aKiswahili
100			_a Breath Bowden _dCUHAS/MD/4001989/T/17 _930590
245			_aRate and indications of caesarean section among pregnant women delivered at Bugando Medical Centrefrom August to October 2021
260			_aMwanza, Tanzania: _bCatholic University of Health and Allied Sciences [CUHAS – Bugando] _c©31.08.2021
300			_avi; 26 Pages
300			_aIncludes References and Appendices
520			_aAbstract: Background: CS is the incision done to deliver a fetus through an abdominal and uterine, laparotomy followed by a hysterotomy, reasons of why a woman may need to have a CS instead of a vaginal delivery may be the doctor caring the mother, the health facility level, the history of previous deliveries and medical history of that particular mother might be the basic decision reasons of delivering the mother through CS or through SVD, One of the most dramatic features of modern obstetrics is the increase in the cesarean section rate (1). This study aimed to determine the rate and indications of cesarean section among pregnant women delivered at Bugando Medical Centre. Aim: Was to determine the rate of CS at Bugando medical center and common indications of caesarean section and to examine possible strategies to prevent unnecessary CS. Methods: To determine the rate and indications of cesarean section among pregnant women delivered at Bugando Medical Centre from august to October 2021, the data were collected in a retrospective manner from all the deliveries that occurred between August 1 and October 31 in 2021 using SPSS version 20, in the department of obstetrics and gynecology, Bugando Medical Center. A cohort of 1008 delivered women was studied. The rates and indications of cesarean sections were analyzed among the live births to estimate the relative contribution of each indication to the overall increase in rate. Ethical clearance was obtained from the Joint CUHAS/BMC Research and ethics committee Results: The cesarean delivery rate increased from 415.58 to 461.22 per 1,000 live births. previous scar, NRFS, meuconium in early labour, abnormal lie, arrested cervical dilation, failure of induction and others contributed to this increase. Conclusions: There is a significant increase in the total cesarean rate generally with Repeated cesarean or previous scar accounting for most of the increase.
600			_xObstetrics & Gynecology _930267
600			_xBiochemistry _915676
700			_a Fridolin Mujuni _922930
700			_aFelix Tarimo _926662
942			_2ddc _cCR
999			_c22510 _d22510