Assessment of the outcome of caesarean section in the department of obstetrics and gynecology at Kampala International University Teaching Hospital, Bushenyi…
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Date
2018-02
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Publisher
Kampala International University, School of Health Sciences
Abstract
The objective of this study was to assess outcomes of caesarean section in the department of obstetrics and gynecology at Kampala International University Hospital, Bushenyi District Uganda. An institution based cross sectional and descriptive study was used to assess neonatal outcomes after caesarean section among mothers delivered by caesarean section under anesthesia. All mothers that came for caesarean section from January 2017 to August 2017 were included using structured questionnaires. Data entry and analysis was done using SPSS version 16, each variable was entered to bivariate analysis, variables with P value <0.2 were taken to multivariate analysis using logistic regression. The outcome of caesarean section in this particular study indicated that the risk of low birth weight and low APGAR score was increased in babies born under cesarean section especially at 1 minute after delivery. Low Fetal weight was associated with low APGAR score of new borns, morealso, there was low number of neonatal death but also a significant number of peri partum neonatal death in babies born under caesarean section Mothers also had increased risk of post-partum hemorrhage followed by the increased risk for post-partum wound infection more than women who underwent normal vaginal delivery. Neonates born under Spinal anesthesia had better physiologic profile as evidenced by APGAR score 5. The use of general anesthesia should be reduced and reserved for special indications that are contra indicated to spinal anesthesia only. Low APGAR score 5 was found to be associated with an increased risk of low birth weight of newborns. Mothers had increased risk of developing post-partum hemorrhage followed by post-partum wound infection. Classical uterine incision resulted in more risk for wound infection and incision other than classical incision resulted in more risk for postpartum hemorrhage in this study. So the use of both incision should be weighed properly that will be appropriate to the mother’s clinical presentation
Description
A research report submitted to the Faculty of Clinical Medicine and Dentistry in partial fulfillment of the requirements for the award of a degree of Bachelor of Medicine and Surgery of Kampala International University
Keywords
Caesarean Section, Obstetrics and gynecology, Kampala International University Teaching Hospital