alexa To Determine Indications Of Elective Caesarean Section VS Emergency Caesarean Section At Khartoum Bahri Teaching Hospital From 1st July, 2014-31 August, 2014 | 62111
ISSN: 2161-0932

Gynecology & Obstetrics
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3rd International Conference on Gynecology & Obstetrics

Rayan Mohamed Alameen
Khartoum Bahri Hospital, Jordan
Posters & Accepted Abstracts: Gynecol Obstet
DOI: 10.4172/2161-0932.C1.013
Abstract
Introduction: Caesarean section (CS) is a surgical procedure used to deliver one or more babies. CS is usually performed when vaginal delivery will put the mother or child’s health or life at risk. In recent years, the number of CS has risen worldwide. Since CS also involves risk for adverse outcome for both mother and child, concern has been expressed regarding its increased use. Aim: To determine indications of elective caesarean section VS emergency caesarean section at Khartoum Bahri Teaching Hospital from 1st July, 2014-31 august, 2014 . Methodology: An observational case finding hospital based study (done retrospectively) which was carried out in Khartoum Bahri Teaching Hospital from 1st July, 2014-31 august, 2014. Hospital records of women who had undergone CS was reviewed using specifically pretested designed data collection sheet. Results: 246 C/S were reviewed during the designated period and it was found that The prevalence of CS at Khartoum Bahri Teaching Hospital was (19.77%) .The most common indications for elective c/s were found to be : previous c/s, breech presentation ,cephalo-pelvic disproportion, while The most common indications for emergency c/s were found to be previous c/s, pre-eclampsia/eclampsia, obstructed labor. The rate of emergency c/s(62%) is more than elective c/s (37.8%). 39.4% of the study subjects were falling within the age group of (22-27). patients with no or irregular ANC (80.95%) of them undergone emergency c/s, this is due to lack or poor ANC coverage and practice, that has failed to give those patients a proper elective section. Conclusion: Previous c/s has been the most frequent indication for elective and emergency caesarean section. The importance of regular ANC visits in reducing the rate of emergency c/s which was (62.2% )which is higher than elective c/s(37.8%)due to lack or irregular ANC visits. There was strong relationship between mode of delivery of previous pregnancy and the type of last c/s (elective or emergency) 48.7% of patients who undergone c/s had previous c/s.
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