INDICATION AND OUTCOMES OF CAESAERIAN SECTION AT MOI TEACHING & REFERRAL HOSPITAL, ELDORET, KENYA

Abstract

Introduction: Caesarean section (CS) is described as an operative procedure which is carried out under anesthesia where by feotus, placenta & membranes are delivered through incision in the abdominal wall & uterus. CS is known to have the typical complications of any major surgery: hemorrhage among others.

Objective: The study aimed at determining the indications and outcomes of caesarean section at Moi Teaching & Referral Hospital (MTRH).

Methods: The researcher adopted a retrospective study design. A total of 384 patients’ medical records were reviewed during data collection.  Data was collected using abstract forms. Data entry and analysis was done using Statistical Package for Social Science (SPSS) Version 21.

Results: A total of 10226 women delivered in the year 2014 with 1920 cases of CS being reported, accounting for 19% of all the deliveries reported. The mean age of the study participants was 28+6.07. The minimum age was 15 years while the maximum age was 46 years.Among the maternal indications of caesarean section previous CS accounted for 168 (43.8%) followed by poor progress at 58(15.1%). A higher number 168(43.8%) of feotal indication was due to foetal distress whereas the lowest was chorioamnionitis at 1(0.3%). For the maternal outcome, hemorrhage was the most common reported complication at 53(13.6%). For the neonatal outcome 269(70%) had latrogenic prematurity.

Conclusion: From this study foetal distress and previous CS were the most common indications of caesarean section in both foetus and women respectively. Iatrogenic prematurity was identified as one of the foetal outcome while hemorrhage was the commonest maternal complication.