Blood Loss at Caesarean Section: A Five-Year Single Centre Experience in the Niger Delta
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 23, Issue 8
Abstract
Objective: The objective of this study is to review outcomes of our caesarean delivery in terms of: - amount of intraoperative blood loss and whether this compares favourably with blood loss at other centres. - to compare the effects various calibers of surgeons and experience impact on blood loss at caesarean section. - the effects unbooked emergencies impact on blood loss at caesarean section. - the impact of the time spent by the surgeon on the degree of blood loss. - the effect of fetal macrosomia, gestational age at caesarean delivery, previous caesarean section has on blood loss at caesarean section. - to identify areas where improvements can be made. Methodology: This was a descriptive, cross-sectional, retrospective study. This study was carried out at the Department of Obstetrics and Gynaecology, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa state Nigeria. Eight hundred and forty eight subjects who delivered between January 2008 and January 2013 (both those who registered for antenatal care and those who were referred as emergencies) were recruited into the study. The records of the subjects for the study were extracted from their hospital files and the results so obtained coded into SPSS version 20 for analysis. Results: The Mean blood loss at caesarean section for the study was 712.3 ml ± 389.5. There was no statistically significance difference between group means of blood loss by Consultants, Seniour Residents and Juniour Residents at Caesarean section as determined by one-way ANOVA ( F.803= 1.252, P= .721 and .207 ). The mean time duration of surgery for the study was 63.57 ± 18.74 minutes. There was no statistically significant difference between the means of the time spent by Consultants, Seniour Residents and Juniour Residents as determined by the Oneway ANOVA test (F 1.021= -801, P= .444, .787). Conclusion: Unbooked emergencies contributed so much to the degree of blood loss amongst other variable factors in this study. This is an issue that has plagued obstetric practice in sub-Saharan Africa and a major contributor to maternal morbidity and mortality. Caregivers and stake holders alike including governments, non-governmental organizations need to invest money and time including advocacy to reduce this ugly trend.
Authors and Affiliations
E. H. Ikhobo, A. O. Addah
Keywords
Related Articles
- EP ID EP312467
- DOI 10.9734/JAMMR/2017/30614
- Views 66
- Downloads 0
Subtotal Thyroidectomy for Giant Goiters under Local Anesthesia: Experience with 15 Nigerians
Thyroid surgery is performed by majority of surgeons using general anaesthesia with endotracheal intubation. In resource poor countries, the paucity of equipment and Anaesthetists limits such procedure needing endotrache...
Non-invasive Assessment of the Severity of Aortic Stenosis by Doppler Derived Aortic Valve Coefficient: A Retrospective Feasibility Study in Humans
Background: Accurate assessment of the severity of stenosis is critical in patients with aortic stenosis. The ambiguities and imprecisions of the current diagnostic parameters can result in sub-optimal clinical decisions...
Spirometric Values in Healthy Nigerian School Children Aged 6-11 Years
Background: Respiratory disorders are among the leading cause of morbidity and mortality in children and the use of spirometry in measuring lung function, diagnosing and monitoring of variety of paediatric respiratory di...
Masimo® Plethysmograph Variability Index as a Tool for Assessment of Fluid Responsiveness in Elective Major Abdominal Surgeries
Background: Maximizing the stroke volume (SV) as measured by Trans-oesophageal Doppler (TED) optimizes preload, & is a goal-directed fluid therapy technique that has been used in a variety of clinical settings. Masimo® P...
Genetic Polymorphisms HLA Class II in SIRS and Sepsis in Children
Aims: The aim of this research was to investigate the genetically determined predisposition to develop SIRS and sepsis by analyzing human leukocyte antigen HLA class II genes. Study Design: children defined by the criter...