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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Second stage caesarean section at a tertiary hospital in South Africa
Journal of Maternal-Fetal and Neonatal Medicine, Volume 23, No. 10, Year 2010
Notification
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Description
Objective.An audit of second stage caesarean section (C/S) at a tertiary hospital was undertaken to compare the frequency of perinatal and maternal complications between first and second stage C/S and to evaluate the training level of physicians. Methods.A prospective chart audit of all women who underwent emergency C/S over a 7-month period at a tertiary hospital was conducted. The patients' hospital records were assessed on a daily basis and all relevant information recorded on a structured data sheet categorising demographics, indications for C/S, level of training of decision-maker and surgeon, a consultant's presence, operative complications and neonatal outcome at 5min post-delivery. The frequency of maternal and neonatal complications was the main outcome measures. Results.There were 975 first stage and 116 second stage C/S. The commonest causes of second stage C/S were cephalo-pelvic disproportion, prolonged second stage and fetal distress. First stage C/S took a mean time of 35.5min, while second stage C/S took an average time of 41.6min to perform (p0.001). There were 37 and 84 records of complications occurring in first and second stage C/S, respectively. Conclusion.Maternal complications were significantly higher in second stage C/S while neonatal complications were not significantly different between first and second stage C/S. There was little guidance from consultants at decision-making for second stage C/S. © 2010 Informa UK, Ltd.
Authors & Co-Authors
Govender, Vineshree
South Africa, Durban
The Nelson R. Mandela Medical School
Panday, Mala
South Africa, Durban
The Nelson R. Mandela Medical School
Moodley, Jagdisea M.
South Africa, Durban
The Nelson R. Mandela Medical School
Statistics
Citations: 29
Authors: 3
Affiliations: 1
Identifiers
Doi:
10.3109/14767051003678002
ISSN:
14767058
e-ISSN:
14764954
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Study Locations
South Africa
Participants Gender
Female