Longer travel time to district hospital worsens neonatal outcomes: a retrospective cross-sectional study of the effect of delays in receiving emergency cesarean section in Rwanda

Abstract Background Emergency cesarean section is a commonly performed surgical procedure in pregnant women with life-threatening conditions of the mother and/or fetus. According to the Royal College of Obstetricians and Gynecologists and the American College of Obstetricians and Gynecologists, decision to delivery interval for emergency cesarean sections should be within 30 min. It is an indicator of quality of care in maternity service, and if prolonged, it constitutes a third-degree delay. This study aimed to assess the decision to delivery interval and associated factors for emergency cesarean section in Bahir Dar City Public Hospitals, Ethiopia. Method An institution-based cross-sectional study was conducted at Bahir Dar City Public Hospitals from February to May 2020. Study participants were selected using a systematic random sampling technique. A combination of observations and interviews was used to collect the data. Data entry and analysis were performed using Epi-data version 3.1 and SPSS version 25, respectively. Statistical significance was set at p < 0.05. Result Decision-to-delivery interval below 30 min was observed in 20.3% [95% CI = 15.90–24.70%] of emergency cesarean section. The results showed that referral status [AOR = 2.5, 95% CI = 1.26–5.00], time of day of emergency cesarean section [AOR = 2.5, 95%CI = 1.26–4.92], status of surgeons [AOR = 2.95, 95%CI = 1.30–6.70], type of anesthesia [AOR = 4, 95% CI = 1.60–10.00] and transfer time [AOR = 5.26, 95% CI = 2.65–10.46] were factors significantly associated with the decision to delivery interval. Conclusion Decision-to-delivery intervals were not achieved within the recommended time interval. Therefore, to address institutional delays in emergency cesarean section, providers and facilities should be better prepared in advance and ready for rapid emergency action.

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Indications of Emergency vs Elective Cesarean Section: Cross-sectional Study done at Holy Family Hospital, Rawalpindi, Pakistan

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1449 ◽

2017 ◽

Vol 9 (1) ◽

pp. 14-17

Author(s):

Kiran Javaid ◽

Abida Sultana ◽

Muneeba Faisal ◽

Rahim Iqbal ◽

Mohammad Bin Khalid ◽

...

Keyword(s):

Cesarean Section ◽

Fetal Distress ◽

Cross Sectional Study ◽

Elective Cesarean Section ◽

Sectional Study ◽

Cross Sectional ◽

Gynecology And Obstetrics ◽

Emergency Cesarean ◽

Elective Cesarean ◽

Previous Cesarean

ABSTRACT Aim To assess the indications of emergency vs elective cesarean section in patients at Holy Family Hospital, Rawalpindi. Materials and methods A descriptive cross-sectional study was conducted on 675 women who underwent cesarean section in the Gynecology and Obstetrics Department of the Holy Family Hospital, Rawalpindi, Pakistan over a period of 2 months. Sociodemographic features, type of cesarean, and their indications were recorded on a structured questionnaire. Data were analyzed by using Statistical Package for the Social Sciences version 23. Results A total of 675 women underwent cesarean section during the study period. The emergency cesarean section rate was 70.4%, while elective cesarean constituted of 29.6% cases. The most common indications for emergency cesarean were fetal distress (43.2%) followed by previous cesarean (19.2%) and failure to progress (9.3%), while that for elective cesarean were previous cesarean (41%) and malpresentation (24.5%). Conclusion Fetal distress and previous scar are the leading causes of cesarean section in our study. The improvement of maternal and child health facilities at basic health units, appropriate training of lady health workers and midwives, timely involvement of senior obstetrician, and formation of strict policies regarding cesarean section can have a profound effect in decreasing the rate of cesarean section. Clinical significance This study can prove to be of profound value in getting an insight into the continuously increasing rate of cesarean section. In developing countries like Pakistan, these increasing cesarean deliveries prove to be a burden on the already-constrained resources. How to cite this article Sultana A, Faisal M, Iqbal R, Javaid K, Khalid MB, Khalid MA. Indications of Emergency vs Elective Cesarean Section: Cross-sectional Study done at Holy Family Hospital, Rawalpindi, Pakistan. J South Asian Feder Obst Gynae 2017;9(1):14-17.

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Alternations of cesarean section rates in a non-infected population after the outbreak of COVID-19: a cross-sectional study

Psychology Health & Medicine ◽

10.1080/13548506.2021.1893768 ◽

2021 ◽

pp. 1-7

Author(s):

Rui-Hong Xue ◽

Juan Li ◽

Lei Chen ◽

Zheng-Zheng Li ◽

Zhen Huang ◽

...

Keyword(s):

Cesarean Section ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Infected Population

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Magnitude of Cesarean Section Delivery and Its Associated Factors Among Mothers Who Gave Birth at Public Hospitals in Northern Ethiopia: Institution-Based Cross-Sectional Study

Journal of Multidisciplinary Healthcare ◽

10.2147/jmdh.s277747 ◽

2020 ◽

Vol Volume 13 ◽

pp. 1563-1571

Author(s):

Melese Ayalew ◽

Bizatu Mengistie ◽

Merga Dheresa ◽

Asmamaw Demis

Keyword(s):

Cesarean Section ◽

Associated Factors ◽

Cross Sectional Study ◽

Public Hospitals ◽

Northern Ethiopia ◽

Sectional Study ◽

Cross Sectional ◽

Cesarean Section Delivery

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Prevalence of raised Alanine Amino transaminase (ALT) in pregnant mothers: A Cross-sectional Study

Journal of Rawalpindi Medical College ◽

10.37939/jrmc.v24i3.1152 ◽

2020 ◽

Vol 24 (3) ◽

pp. 187-192

Author(s):

Tabinda Khalid ◽

Rubaba Abid Naqvi ◽

Nisar Ahmed Malik ◽

Hamna Sarwar

Keyword(s):

Viral Hepatitis ◽

General Hospital ◽

Acute Viral Hepatitis ◽

Cross Sectional Study ◽

Severe Preeclampsia ◽

Chronic Hypertension ◽

Sectional Study ◽

Cross Sectional ◽

Emergency Cesarean ◽

Pregnant Mothers

bjective: To determine the prevalence of raised ALT, common causes, and associated fetomaternal morbidity in pregnant mothers presenting, at cantonment general hospital Rawalpindi Materials and Methods: This was a cross-sectional study conducted at cantonment general hospital Rawalpindi from July 2016 till June 2017. Results: Out of 1924 women, 102 were identified with raised ALT making a prevalence of 5.3%. Sixty-one (59.8%) were booked. The hypertensive group which included severe preeclampsia, chronic hypertension with superimposed preeclampsia/eclampsia were 55(53.9%), intrahepatic cholestasis of pregnancy(ICP) 32(31.7%), acute viral hepatitis 9(8.8%), Acute fatty liver of pregnancy(AFLP) 2(1.96%), and unknown cause in 4(3.92%). Mean ALT levels were 54.1±6.94, 71.28±23.25, 84.22±27.82, 231.5±47.37 respectively. In four cases no definitive cause could be identified with the available tests were labeled as an unknown group, having a mean ALT level of 79.25±10.07. (p=0.01). Term delivery occurred in 71(69.6%), while 31(30.39%) were preterm. There was one termination of pregnancy. Vaginal birth occurred in 42(42.2%), and 53(51.9%) underwent emergency cesarean. There was one peripartum hysterectomy. Meconium stain of liquor was 19(18.6%). The birth weight of most babies 73(71.5%) was between 2-3 kilograms only three were ≤ 1 kilograms. Eight cases of postpartum hemorrhage, three maternal deaths, and six perinatal/early neonatal deaths were observed. Conclusion: Raised ALT in pregnancy leads to increased fetomaternal complications. Severe preeclampsia and obstetric cholestasis were the commonest causes. Women of younger age groups were having acute viral hepatitis. Timely recognition and diagnosis are essential to institute appropriate management strategies.

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Relation between delivery mode and maternal mental status one month after delivery at a perinatal center in Japan: A cross-sectional study

F1000Research ◽

10.12688/f1000research.20677.3 ◽

2020 ◽

Vol 8 ◽

pp. 1755

Author(s):

Shunji Suzuki

Keyword(s):

Cesarean Section ◽

Mental Status ◽

Depression Scale ◽

Cross Sectional Study ◽

Elective Cesarean Section ◽

Delivery Mode ◽

Cross Sectional ◽

Delivery Modes ◽

Emergency Cesarean ◽

Elective Cesarean

Background: Maternal mental status has been thought to be affected by the delivery modes. We examined the relation between delivery modes and the mental status of women who delivered at our institute in Japan. Methods: Data were collected from the medical charts of 643 primiparous women without a history of mental disorders who delivered singleton babies and underwent a 1-month postpartum check-up at our institute from September 2018 to June 2019. The maternal mental status was examined based on the scores of the Edinburgh Postnatal Depression Scale (EPDS) and the Mother-Infant Bonding Scale (MIBS). Results: The rate of high scores of the EPDS and the MIBS in women choosing elective cesarean section were higher than in women with vaginal delivery and emergency cesarean section. Conclusion: Mental health care may be necessary for women choosing elective cesarean section.

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