Rate, indications and fetal outcome of emergency caesarean section- A retrospective study at Ndola teaching hospital, Ndola, Zambia

2017 ◽  
Vol 4 (2) ◽  
pp. 162-167
Author(s):  
Patrick Sichundu ◽  
◽  
Seter Siziya ◽  
Muleta Kumoyo ◽  
◽  
...  
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Teaching Hospital ◽  
Fetal Outcome ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean

scholarly journals Decision-Delivery Interval for Emergency Caesarean Section at the Rivers State University Teaching Hospital

2020 ◽  
pp. 1-2
Author(s):  
S. Eli ◽  
D. G. B. Kalio ◽  
A. Dan- Jumbo ◽  
J. Ikimalo
Keyword(s):  
Caesarean Section ◽  
Teaching Hospital ◽  
Developed Countries ◽  
Fetal Outcome ◽  
Emergency Caesarean Section ◽  
University Teaching ◽  
State University ◽  
Cephalopelvic Disproportion ◽  
Emergency Caesarean ◽  
Rivers State

Decision-Delivery interval when carrying out emergency caesarean section (EmCS) cannot be over-emphasized especially with regards to maternal and fetal outcome. There are variety of factors that may contribute to these intervals such as logistics, personal delay, delay in obtaining of informed consent, lack of blood, and availability of theatre space. Aim: To determine the decision-delivery interval and causes of delay in EmCS at the Rivers State University Teaching Hospital (RSUTH). Methods: It was prospective study conducted at the RSUTH between July 1, 2018 to January 31, 2019. Information was obtained using a self structured questionnaire and analyzed using version SPSS 25. Results: There were 481 patients admitted into labour ward for the period under review of which 71(14.8 %) had EmCS. The mean age was 31 years. The commonest indication for EmCS was Cephalopelvic disproportion (CPD) represented by 23 (32.4%) of the subjects. The average time for decision - delivery interval was 1 to 2 hours represented by 29 (40.8%). The shortest decision - delivery interval was less than 30 minutes 1(1.3%).The decision – delivery interval time greater than 5 hours were 9 (12.7%). The 3 commonest reasons for delay with respect to average decision – delivery intervals were personal delay 21 (20.8%), logistics 19 (18.8%) and lack of blood 13 (12.9%). Conclusion: The study revealed that the average decision - delivery interval was 1 – 2 hours represented by 40.5% of the subjects. This was relatively long when compared to developed countries of the world. The commonest reason for delay in carrying out EmCS was personal delay (20.8%). The commonest indication for EmCS was CPD (32.4%). Addressing the reasons for the decision – delivery interval will help improve our practice and reduce adverse effects to mother and baby.

scholarly journals Maternal and Fetal Outcome in Emergency versus Elective Caesarean Section

2020 ◽  
Vol 18 (2) ◽  
pp. 186-189
Author(s):  
Naveen Darnal ◽  
Ganesh Dangal
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Elective Caesarean Section ◽  
Fetal Outcome ◽  
Emergency Caesarean Section ◽  
P Value ◽  
Age Group ◽  
Common Indication ◽  
Emergency Caesarean ◽  
Emergency Cesarean

Background: Caesarean section is one of the most performed surgical procedures all over the world. It is associated with high morbidity and mortality as compared to vaginal delivery. The present study was carried out to evaluate the maternal and neonatal outcome and complications in two groups of pregnant women who underwent elective and emergency cesarean section, so that measures can be taken to reduce morbidity and mortality in near future.Methods: It was hospital based descriptive cross-sectional study carried out at Paropakar Maternity and Women’s Hospital from October to December 2018. There were 340 patients enrolled in the study 170 in elective and 170 in emergency caesareans selected randomly. Ethical approval was obtained from the Institutional Review Board and informed consent was taken from the patients and patients’ guardians. Data were collected daily from the Operation Theater. Results: The rate of caesarean section in the hospital was 30.7%. Proportion of emergency caesarean section was 1324 (74.4%) and elective caesarean section was 456 (25.6%). Emergency Caesarean section was more common in younger age group and in primigravida while elective Caesarean section was more common in advanced age group and in multigravida. The most common indication for emergency Caesarean section was Fetal Distress and the most common indication for elective Caesarean section was previous cesarean with refused vaginal delivery after cesarean section. The maternal outcome in terms of post-operative wound infection, (post-partum hemorrhage, urinary tract infection need for blood transfusion, fever and need for maternal intensive care unit admission was significantly (p- value <0.05) higher in emergency Caesarean section than in elective Caesarean section .The fetal outcome in terms of birth asphyxia, meconium stained liquor and need for Neonatal ICU admission were significantly (p – value <0.05) higher in emergency Caesarean section than in elective Caesarean section. Conclusions: Maternal and fetal complications were significantly higher in the emergency caesarean section as compared to elective caesarean section group.Keywords: Fetal outcome; emergency cesarean section; elective cesarean section; maternal outcome.

scholarly journals Spontaneous Haemoperitoneum in Pregnancy- A Diagnostic Challenge

2020 ◽  
Author(s):  
Niranjan Mayadeo ◽  
Anusha Devalla
Keyword(s):  
Caesarean Section ◽  
Acute Pain ◽  
Rare Condition ◽  
Fetal Outcome ◽  
Emergency Caesarean Section ◽  
Posterior Surface ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Emergency Caesarean ◽  
In Pregnancy

Spontaneous haemoperitoneum in pregnancy is an extremely rare condition that poses a diagnostic dilemma for the obstetrician. The authors here present a case of 23-year-old primigravida presenting at 34-weeks with acute pain in abdomen masquerading as clinical chorioamnionitis secondary to prolonged rupture of membranes. Abdomen palpation revealed uterine tenderness and pathological cardiotocography tracings suggesting the need for immediate delivery of the foetus by emergency caesarean section. Intraoperatively, there was haemoperitoneum (800 mL) and bleeding superficial uterine serosal veins on the posterior surface of uterus seen on exploration. The patient was successfully managed with favourable maternal and fetal outcome.

scholarly journals Spinal Anaesthesia Failure among Women Undergoing Caesarean Section in Kirtipur Hospital

2015 ◽  
Vol 10 (1) ◽  
pp. 36-38
Author(s):  
PK Rajbhandari ◽  
P Pradhan ◽  
G Dangal
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
General Anaesthesia ◽  
Failure Rate ◽  
Spinal Anaesthesia ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean ◽  
Acceptable Range

Aims: This study was done to find out the spinal anaesthesia failure rate necessitating the conversion to general anaesthesia and use of intraoperative supplemental analgesia. Methods: This was a retrospective study undertaken in Kirtipur hospital in 660 patients. Spinal anaesthesia (0.5% heavy bupivacaine 2.2 ml) was given to women who had undergone elective or emergency caesarean section from January 2009 to December 2013. Results: In this study spinal anaesthesia failure rate was 1.66% (n=11/660). Among them complete failed spinal anaesthesia rate was 0.75% (n=5/660) requiring conversion to general anaesthesia. Intraoperative supplemental analgesic and sedation like pethidine, ketamine or midazolam was required in 0.90% (n=6/660). Conclusions: The failure rate of spinal anaesthesia given for caesarean section was low (1.66%) and it was within the acceptable range.

scholarly journals Maternal and fetal outcome in emergency versus elective caesarean section

2018 ◽  
Vol 7 (12) ◽  
pp. 4845
Author(s):  
Sonal Agrawal ◽  
Vimal K. Agarwal
Keyword(s):  
Caesarean Section ◽  
Elective Caesarean Section ◽  
Fetal Outcome ◽  
Emergency Caesarean Section ◽  
Perinatal Complications ◽  
Pregnant Females ◽  
Emergency Caesarean ◽  
Operative Complications ◽  
Elective Procedure ◽  
Skilled Staff

Background: Caesarean section preferred as an emergency or elective procedure are entirely different entities according to measures taken, facilities and skilled staff available and preparation done. It has been shown that risk of surgical complications is greater with emergency compared with elective caesarean section.Methods: Present study is a retrospective study, designed to evaluate maternal and fetal outcomes in elective versus emergency caesarean section performed at our hospital from January 2016 to December 2016.Results: Out of 2156 caesarean, 1628 were emergency and 528 were elective caesarean section.  In our study overall intra operative complications were 11.08% which was mainly contributed to emergency group.Conclusions: The elective caesarean section shows less maternal and perinatal complications as compared to emergency caesarean sections. Increasing incidence of emergency caesarean section can be reduced by encouraging all pregnant females to visit antenatal clinics.

scholarly journals Study of maternal and fetal outcome in elective and emergency caesarean section

2015 ◽  
Vol 3 (11) ◽  
pp. 1300-1305 ◽  
Author(s):  
Dr Vibhuti Thakur ◽  
◽  
Dr Heena Chiheriya ◽  
Dr Ashok Kumar Thakur ◽  
Dr Sudhir Mourya ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Fetal Outcome ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean
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