Document Detail


Caesarean section and foetal outcome at Yekatit 12 Hospital, Addis Abeba, Ethiopia, 1987-1992.
MedLine Citation:
PMID:  7957129     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This retrospective study was carried out to examine indications for Caesarean section (CS), foetal outcome and postoperative complications and to recommend ways of reducing maternal and neonatal deaths. In a five year period (September 1987 to August 1992), among 11,657 consecutive deliveries at Yekatit 12 Hospital, Addis Abeba, Ethiopia, there were 645 CSs, an overall CS rate of 5.5%. During this study, the indications for CS were cephalopelvic disproportion (31.2%), foetal distress (21.4%), previous CS (17.5%), placenta praevia (6.6%), cord prolapse (4.2%) and others (19.1%). There were 99 perinatal deaths, a gross perinatal mortality rate of 153.5 per 1,000 live births, which was a significantly higher rate than the total rate for all deliveries (67.5 per 1,000 live births, p < 0.01). There were seven maternal deaths (case fatality rate of 1.1%). The very high perinatal mortality in this study calls for a better and more effective antenatal service to improve foetal and maternal survival. This could be achieved by strengthening the referral system for pregnant women with obstructed and prolonged labour.
Authors:
T A Mekbib; B Teferi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ethiopian medical journal     Volume:  32     ISSN:  0014-1755     ISO Abbreviation:  Ethiop. Med. J.     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1994-12-02     Completed Date:  1994-12-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373223     Medline TA:  Ethiop Med J     Country:  ETHIOPIA    
Other Details:
Languages:  eng     Pagination:  173-9     Citation Subset:  IM; J    
Affiliation:
Department of Obstetrics and Gynaecology, Yekatit 12 Hospital, Addis Abeda.
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Rate
Cesarean Section / adverse effects,  mortality,  trends,  utilization*
Ethiopia / epidemiology
Female
Hospitals, Urban*
Humans
Infant Mortality* / trends
Infant, Newborn
Maternal Mortality* / trends
Morbidity
Population Surveillance*
Pregnancy
Referral and Consultation
Retrospective Studies
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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