dc.contributor.author |
Govender, Indiran
|
|
dc.contributor.author |
Steyn, C.
|
|
dc.contributor.author |
Maphasha, Olga M.
|
|
dc.contributor.author |
Abdulrazak, A.T.
|
|
dc.date.accessioned |
2020-04-03T11:29:31Z |
|
dc.date.available |
2020-04-03T11:29:31Z |
|
dc.date.issued |
2019 |
|
dc.description |
Mr Stevens Kgoebane assisted with the
statistical analysis. |
en_ZA |
dc.description.abstract |
INTRODUCTION : Caesarean section (CS) is a common obstetric procedure that prevents neonatal and maternal death when
performed correctly if indicated; however, CS can give rise to complications that lead to maternal and perinatal morbidity
and mortality. Rates of CS are increasing worldwide, although the World Health Organization (WHO) has indicated an ideal
rate of 5–15%. South African CS rates are higher than the ideal.
METHODS : Maternity records of 2015 were reviewed at Odi District Hospital (ODH) to assess whether ODH complies with the ideal
CS rate. In this study, extracted data include date and time of CS, maternal age, parity, gestational age, total number of previous
CSs, elective or emergency, indications, anaesthesia used and registration of the surgeon.
RESULTS : There were 3 336 deliveries and 1 064 CSs (32%). The majority of women were aged from 19 to 34 years (59%), 72.8%
were multiparous and 54% between 37–39 weeks’ gestation. The most common (40.1%) overall and emergency indication was
foetal distress. Most CSs were emergencies (61.70%). Most elective CSs were because of a previous CS and spinal anaesthesia
was used in 91.73%. Medical officers performed most of the CSs (79.0%) during working hours. The CS rate of 32% was
significantly higher than the ideal 5–15% and higher than in other sub-Saharan countries with similar maternal
characteristics. Indications for emergency and elective CSs were similar to previous research.
CONCLUSION : The Caesarean section rate at ODH is higher than the recommended rate. Potential CSs therefore need to be
evaluated more intensely to assess the true need for surgical intervention. |
en_ZA |
dc.description.department |
Family Medicine |
en_ZA |
dc.description.librarian |
am2020 |
en_ZA |
dc.description.uri |
http://www.safpj.co.za/index.php/safpj |
en_ZA |
dc.description.uri |
http://www.tandfonline.com/loi/ojfp20 |
en_ZA |
dc.identifier.citation |
Govender, I., Steyn, C., Maphasha, O. et al. 2019, 'A profile of Caesarean sections performed at a district hospital in Tshwane, South Africa', South African Family Practice, vol. 61, no. 6, pp. 246-251. |
en_ZA |
dc.identifier.issn |
2078-6190 (print) |
|
dc.identifier.issn |
2078-6204 (online) |
|
dc.identifier.other |
/10.1080/20786190.2019.1671655 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/73920 |
|
dc.language.iso |
en |
en_ZA |
dc.publisher |
Medpharm Publications, NISC (Pty) Ltd and Cogent, Taylor and Francis Group |
en_ZA |
dc.rights |
© 2019 The Author(s). Open Access article distributed under the terms of the Creative Commons License [CC BY-NC 3.0]. |
en_ZA |
dc.subject |
Emergency Caesarian sections |
en_ZA |
dc.subject |
Foetal distress |
en_ZA |
dc.subject |
Previous caesarian section |
en_ZA |
dc.subject |
Cephalo pelvic disproportion |
en_ZA |
dc.subject |
Caesarean section (CS) |
en_ZA |
dc.title |
A profile of caesarean sections performed at a district hospital in Tshwane, South Africa |
en_ZA |
dc.type |
Article |
en_ZA |