scholarly journals Emergency caesarean section and its sequelae in a tertiary hospital in Niger Delta, Nigeria

2021 ◽  
Vol 10 (12) ◽  
pp. 4372
Author(s):  
Rose Sitonma Iwo-Amah ◽  
Felix Chikaike Clement Wekere ◽  
Simeon Chijioke Amadi ◽  
Joseph Ngozi Kwosah
Keyword(s):  
Caesarean Section ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Emergency Caesarean Section ◽  
University Teaching ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Early Presentation ◽  
Emergency Caesarean

Background: Caesarean section (CS) is one of the most common surgical procedure in obstetrics. It involves a surgical incision made through the abdominal and uterine walls to deliver the foetus and placenta after the period of foetal viability.Methods: This was a cross-sectional study aimed at reviewing emergency caesarean section in Rivers State University Teaching Hospital (RSUTH) over a 5-year period, to determine the prevalence and sequelae. Data were analysed using IBM Statistical Product and Service Solution (SPSS) version 25.0 (Armonk, NY).Results: During the review period, there were 13516 deliveries and 3699 cases of emergency CS, giving the prevalence of emergency CS as 27.4% or 274 per 1000 deliveries. Majority (90%) of the parturient were unbooked. The most common complication in women that had emergency caesarean section was fever (56.4%), followed by endometritis (14.7%), absconding from hospital (8.8%), urinary tract infection (7.1%) and wound infection (6.1%). There was a statistically significant association between types of CS and their sequelae, χ2=1153.9, p<0.001, (95% CI: 0.000, 0.000). Women that had emergency CS were 101 times more likely to have a complication compared to those that had planned CS.Conclusions: The rate of emergency caesarean section is high in RSUTH and with more complications compared to planned caesarean section. Booking for antenatal care, early presentation for delivery, birth preparedness and complication readiness will enhance improved maternal and perinatal outcome. 

scholarly journals Bacteriological analysis of infected wound and their antibiotic sensitivity following emergency caesarean section-a study of 100 cases

KYAMC Journal ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 61-64
Author(s):  
Sushmita Paul ◽  
Debashis Paul ◽  
Ashraful Haque ◽  
Bijan Kumar Nath ◽  
Md Rezaur Rahman Miah ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Wound Infection ◽  
Antibiotic Sensitivity ◽  
Cross Sectional Study ◽  
Emergency Caesarean Section ◽  
Klebsiella Pneumonia ◽  
Infected Wound ◽  
College Hospital ◽  
Cross Sectional ◽  
Emergency Caesarean

Background: Emergency caesarean section is one of the commonly performed operation in the department of gynae and obstetrics.Objectives: The aim and objective of the study was to evaluate the organisms responsible for post emergency caesarean wound infection and their antibiotics sensitivity.Materials & Methods: The study is a prospective type of cross sectional study where 100 patient of post emergency caesarean wound infection was evaluated during July 2012 to December 2012 (6 Month Duration) at Rajshahi Medical College Hospital (RMCH) Rajshahi. The wound swab was sent for culture and sensitivity test.Results: The peak incidence of wound infection to between 6th - 8th post operative day. In wound discharge shows various organism but 16% showed no growth. The most of the infected wound showed (48%) thick creamy pus and the organisms isolated is Staphylococcus. antibiotics mostly used were Ciprofloxacin, Cephradine and Metronidazole. This study revealed that maximum wound infection is due to S. aureus. Regarding antibiotic sensitivity of the cultured organisms, all of them are sensitive to Imepenem (100%). Staphylococcus aureus mostly sensitive to Flucloxacillin (79.16%). Ciprofloxacin sensitivity is found in 58.33% cases. E coli mostly sensitive to Imepenem (100%) followed by Ceftriaxone (53.84%). Klebsiella pneumonia found mostly sensitive to Imepenem (100%) followed by Ceftriaxone (75%) and Cephradine (50%).Conclusion: Selection of appropriate antibiotic is important to reduce post caesarean wound infection.KYAMC Journal Vol. 9, No.-2, July 2018, Page 61-64

scholarly journals Oxytocin and emergency caesarean section in a medium-sized hospital in Pakistan: A cross-sectional study

2020 ◽  
Vol 4 (August) ◽  
Author(s):  
Mirjam Lukasse ◽  
Ingrid Hovda ◽  
Sara Thommessen ◽  
Sosan McAuley ◽  
Marian Morrison
Keyword(s):  
Caesarean Section ◽  
Cross Sectional Study ◽  
Emergency Caesarean Section ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Caesarean

scholarly journals Post-operative Experience following Caesarean Section in a Nigerian Obstetric Population

2021 ◽  
Vol 2 (1) ◽  
pp. 60-65
Author(s):  
Jamila A Garba ◽  
Abubakar A Panti ◽  
Ahmed Yakubu ◽  
Eze A Ukwu ◽  
Ahmed T Burodo ◽  
...  
Keyword(s):  
Pain Relief ◽  
Caesarean Section ◽  
Outcome Measures ◽  
Elective Caesarean Section ◽  
Cross Sectional Study ◽  
Emergency Caesarean Section ◽  
Secondary Outcome ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
Emergency Caesarean

Background: Caesarean section is the most significant obstetrics operative intervention globally. Good postoperative experience after caesarean section is important because there is need for the mother to recover from surgery and take care of her baby. The aim of this study was to assess the experience of women that had caesarean section in the first 24 hours postoperatively. Materials/methods: This was a cross-sectional study conducted among women that had elective and emergency caesarean section. They were followed up to 24 hours post-operative. The primary outcome measures were pain score and satisfaction. Secondary outcome measures were time of mobilization, time of commencement of oral feeds and time of initiation of breastfeeding. Data analysis was carried out using Statistical Package for Social Sciences version 22. Results: The median pain scores among those that had emergency and elective caesarean section ranged between 2 and 3 at all points of pain assessment. The satisfaction was good among 66.1% that had emergency caesarean section and 71.2% among those that had elective caesarean section. However, the difference was not statistically significant (χ2 = 0.546, p = 0.761). More than 90% of the participants that had either emergency or elective caesarean section did not ambulate within the first 24 hours after caesarean section and there was no association between the time of ambulation and the type of caesarean section (χ2 = 0.005, p = 0.941). Conclusion: The participants had adequate pain relief and majority were satisfied with the pain relief. However, the optimum satisfaction was not achieved. The participants did not ambulate early and did not initiate breast-feeding early. Recommendation: Further research is recommended to assess other factors that affect patient's satisfaction and ambulation so as to improve on patient's postoperative care.

scholarly journals Pattern of primary caesarean deliveries in a Nigerian tertiary hospital

2021 ◽  
Author(s):  
Abimbola T. Ottun ◽  
Chinonye H. Okoye ◽  
Adeniyi A. Adewunmi ◽  
Faosat O. Jinadu ◽  
Ayokunle M. Olumodeji
Keyword(s):  
Caesarean Section ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
State University ◽  
Foetal Distress ◽  
Hypertensive Disease ◽  
Cross Sectional ◽  
Cephalopelvic Disproportion ◽  
Primiparous Women

Background: Primary caesarean section (CS) has become a major driver of the steadily rising total caesarean rate. This study determined the primary CS rate, pattern and associated factors.Methods: It was a retrospective, hospital-based cross-sectional study of 645 pregnant women who had primary caesarean section over a 3-year period in Lagos state university teaching hospital, Lagos, Nigeria. Data obtained were expressed in frequency and percentages.Results: Primary CS accounted for more than 50% of all the CS done during the study period with a primary CS rate of 16.7% and total CS rate was 30.6%. Primary CS was commonest among women of age group 30-39years (50.1%) and women with no prior parous experience (58.6%). The commonest indication for primary CS was poor progress in labour due to cephalopelvic disproportion, which occurred in 170 women (26.4%), followed by suspected foetal distress in 94 women (14.6%) and hypertensive disease in pregnancy in 91 women (14.1%). Post-operative wound infection and/or dehiscence was the most prevalent post-operative complication occurring in 12.1% of women who had primary CS.Conclusions: Primary CS rate is increasing and relatively more common among primiparous women. Cephalopelvic disproportion, suspected foetal distress and hypertensive disorders of pregnancy are the leading indications for primary CS. 

scholarly journals Socio-demographic profile and maternal-fetal prognosis of emergency caesarean section versus caesarean section programmed on scar uterus

2020 ◽  
Vol 9 (5) ◽  
pp. 1864
Author(s):  
Mapatano Shalamba E. ◽  
Mwambali Nabintu ◽  
Nyakio Ngeleza O. ◽  
Mukanga Omar ◽  
Mulindwa Murhula J. ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Neonatal Infection ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Emergency Caesarean Section ◽  
Chi Square ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
Emergency Caesarean ◽  
Gynecology And Obstetrics

Background: The objective of this study was to determine the maternal-fetal prognosis of emergency caesarean sections on the scar uterus to contribute to the reduction of maternal-fetal morbidity and mortality.Methods: An analytical cross-sectional study of pregnant women who were observed from admission to discharge including their newborns at Panzi Reference General Hospital in gynecology and obstetrics department. The sample was comprehensive for convenience consisting of 150 deliveries by caesarean section who had previously delivered at least once by caesarean section. (In 4 months, from 01st December 2018 to 31st March 2019). A pre-established survey sheet allowed us to collect the data. For data analysis, SPSS software and Microsoft excel were used. The chi-square test was used at the 0.05 level.Results: A total 95.2% of newborns were found to be of normal weight, their mothers were emergency cesarized but should be programmed and macrosomia was noted in 4.8%; (p >0.05). In addition, 57.1% of urgent caesarean sections scheduled to be performed were performed in female children (p <0.05). We note the low Apgar in 26.2% of newborns whose mothers were emergency cesarized but should be programmed; (p <0.05). Afterwards, 33.3% of the emergency cesarized gestates, their newborns were transferred to neonatology with transfer reasons asphyxia light in 50%, moderate asphyxia in 28.5% and in 21.5% for the infectious risk. The neonatal prognosis at discharge, we noted two cases of neonatal deaths or 4.7% in pregnant emergency cesarized (p >0.05). On the maternal side, morbidity was dominated by puerperal infections in 16.7% and uterine rupture in 2.4% in the emergency caesarean section, and no maternal deaths occurred in both groups during the study period.Conclusions: Maternal-fetal prognosis was characterized by asphyxia, neonatal infection and two cases of neonatal death. Study did not register a maternal death but we noticed puerperal infections.

scholarly journals FAILED SPINAL ANESTHESIA

2016 ◽  
Vol 23 (12) ◽  
pp. 1527-1530
Author(s):  
Mobeen Ikram ◽  
Abdul Samee ◽  
Muhammad Amir ◽  
Muhammad Imdad
Keyword(s):  
Pain Management ◽  
Caesarean Section ◽  
Spinal Anesthesia ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Caesarean ◽  
Indirect Supervision ◽  
Study Setting

Objectives: To determine the frequency of failed spinal anesthesia in patientsundergoing caesarean section in a teaching hospital in Pakistan. Study Design: It was a cross– sectional study. Setting: Department of Anesthesia and Pain Management PAF HospitalSargodha. Period: January 2015 to May 2015. Methodology: A total of 293 pregnant patientsundergoing caesarean section under spinal anesthesia were included. After prehydration andessential monitoring, all patients were given spinal anesthesia with 25 G spinal needle at L3-L4 or L4-L5 level by 2nd year resident anesthesiologist under indirect supervision using 1.5 mlof hyperbaric spinal injection. Failure to achieve adequate block was managed by differentmodalities like sedation, analgesia with ketamine, repeat spinal anesthesia or to proceed withgeneral anesthesia. Results: Out of total of 293 patients, failed spinal occurred in 9 patients(3.07%). Out of these 9 patients, 02 patients (22.22%) were elective caesarean sections while07 cases (77.77%) were emergency caesarean sections. Conclusion: The chances of failedspinal anesthesia are more in emergency caesarean sections as compared to elective casesand failure rate of spinal anesthesia in PAF teaching hospital Sargodha is 3.07% which is slightlyhigher than 3%

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