dc.contributor.author | Kinuthia, Francis J | |
dc.date.accessioned | 2013-05-23T13:35:53Z | |
dc.date.available | 2013-05-23T13:35:53Z | |
dc.date.issued | 1991-04 | |
dc.identifier.citation | Degree of Master of Medicine in obstetrics and gynaecology | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/24962 | |
dc.description | Degree of Master of Medicine
in obstetrics and gynaecology
of the
University of Nairobi | en |
dc.description.abstract | A prospective descriptive surveillance study was carried out
between 1st August and 10th November, 1989 on all patients
deliveredby caesarian section in the Kenyatta National Hospital's
obstetricunit.
All patients were interviewed by the investigator and some of
the information was obtained from their clinical notes and
occasionallyverification was obtained from the doctors who managed
themduring labour and delivery.
The caesarian section rate was 20%. The ages of these patients
nnged from 15 to 48 years.
The mean age was 25.9 years. 65.1%
of them were between age 20 and 29 years. Majority were married
(85.4%) and were of low parity; 72.3 % being between para 1 and para
4. 25% were primiparous.
Majority of these women (57.9%) had not undergone caesarian
ection prior to this delivery. 3.4% of the cases had not attended
any antenatal clinic and majority (48.6%) of those who did,
utilizedKenyatta National Hospital antenatal clinic. Majority of
ilioseseen in Kenyatta National Hospital antenatal clinic had a
highrisk factor for example previous caesarian section scar, bad
obstetric history, hypertensive disease of pregnancy diabetesillitus, cardiac disease in pregnancy, etc.
The most common indications for caesarian section in this study
group include: previoqs scar(41.5%), fetal distress
(32.9%), hypertensive disorders of pregnancy (18.3%), cephato-
pelvic disproportion (15.2%), breech and other malpresentation
(20.7%) and others like bad obstetric history, antipartum
haemorrhage, prolonged labour and cord accidents.
Majority (69.2%) were delivered at term i.e. 38-42 weeks of
gestation and the fetal maternal outcome was good.
Majority of the cases were done in good time without any
significant delay and the caesarian sections were justified going
by the findings at the operation and the fetal-maternal outcome.
The few who were delayed were for example, elective caesarian
section cases who were awaiting blood and those who awaited the
theatre that was at the time being used with other emergencies.
The good fetal-maternal outcome in these cases inspite of some
delay was probably due to good prioritising of cases in our labour
ward theatre based on the individual problem and its severity. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | Obstetrics long commentary: A prospective study on caesarian section pattern at Kenyatta National Hospital | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | School of Medicine | en |