Rate, indications and fetal outcome of emergency caesarean section- A retrospective study at Ndola teaching hospital, Ndola, Zambia
Journal Title: Asian Pacific Journal of Health Sciences - Year 2017, Vol 4, Issue 2
Abstract
Background:A caesarean section is the delivery of a baby through a surgical incision in the mother's abdomen and the uterus. In most of the circumstances, a C-section is planned in advance. However, in others, it's done in response to unforeseen circumstances. The objectives of the study were to determine the rate, indications and fetal outcome of Emergency C-Section at Ndola Teaching Hospital.Methods:A retrospective study was undertaken at Ndola Teaching Hospital, Ndola, Zambia for January to December 2016. Data was extracted from maternity in-patient case files, delivery books and theatre register records. Altogether, 262 clients were randomly selected and this data was collected in April and May 2017. Data was entered and analyzed using SPSS v20. Statistical associations were established using the Chi-square test and results yielding p< 0.05 were considered to be of statistical significance.Results:The Emergency C-Section rate was 79(30.2%) from 262 study sample. The indications for Emergency C-Section were fetal distress (20.6%), maternal distress (5%) and cord prolapse (4.6%). Emergency C-Section had a poor fetal outcome of 11.4% while Elective C-Section had a poor fetal outcome of 9.8% (p= 0.704). None of the characteristics were significantly associated with Caesarean Section (p >0.05).Conclusion:Fetal distress was the most common indication for Emergency C-Section and it recorded a high fetal complications. Early recognition through good intra-partum monitoring and early referral of mothers who are likely to undergo cesarean section may reduce the incidence of poor fetal outcome in emergency cesarean sections and thus decrease its complications. Key Words:
Authors and Affiliations
Patrick Sichundu
Keywords
Related Articles
- EP ID EP525806
- DOI 10.21276/apjhs.2017.4.2.27
- Views 169
- Downloads 0
Eccrine spiradenoma presenting as leg swelling: A case report of rare presentation
Eccrine spiradenoma (ES) is an uncommon benign adnexal tumor of the skin. The highest rate of incidence is observed among young adults, without any sex predilection. The most commont site of presentation is the head and...
Dance of energy and breath: “Qigong” and diabetes
As in many chronic diseases, in Type 2 diabetes, various complementary and alternative applications are aimed to reduce side effects and to support treatment. One of these practices is qigong exercises whose name is not...
Factors and determinants associated with home based deliveries among women in Muteteshi area, a peri-urban of Kapiri, Zambia
Background: In most rural areas of Zambia, over two thirds of births recorded annually, occurred at home than in health facilities. This study was aimed at determining the factors associated with home based deliveries am...
Hemophagocytic syndrome secondary to tuberculosis- a rare case report
Hemophagocytic syndrome , also known as hemophagocytic lymphohistiocytosis (HLH) is the manifestation of immune dysregulation. It is associated with ineffective but increased response and infiltration of active lymphocyt...
Inter-relationship of calcium, Vitamin D, and fluoride in periodontal health: An overview
Many dental diseases are the result of developmental and maturation defects of teeth. Few of them are prenatal and postnatal calcification defects, developmental disturbances due to endocrine abnormalities, influence of...