Sarah Esendi Kagoni, Anne Mwangi, Dinah Chelagat


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.






Indications, outcomes, Caesarean section, Kenya

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AbouZahr C., 2000. Measuring Maternal Mortality: What Do We Know? In Safe Motherhood Initiatives: Critical Issues. Edited by Berer M, Ravindran TS. London: Blackwell Science.

Aisien, A.O. & Oronsaye, A.U. 2004. Vaginal Birth after One Previous Caesarean Section in a Tertiary Institution in Nigeria. Journal of Obstetrics and Gynaecology 24, 88690.

Andre A B. Pembe and Mashavu K. Othman, 2012. Pregnancy Outcome after One Previous Caesarean Section at a Tertiary University Teaching Hospital in Tanzania. Tanzania Journal of Health Research Volume 12, Number 3, July 2010

Bager P, Melbye M, Rostgaard K, Benn CS, Westergaard T. Mode of Delivery and Risk of Allergic Rhinitis and Asthma. J Allergy Clin Immunol. 2003; 111:51-56

Bailit E., Althabe F, Sosa C, 2004. Cesarean Section Rates and Maternal and Neonatal Mortality in Low-, Medium-, and Hhigh-Income Countries: An Ecological Study. Birth Dec; 33(4):270-277.

Berghella V., Baxter J.K., Chauhan S.P., 2005. Evidence-Based Surgery for cesarean Delivery. American Journal of Obstetrics and Gynecology;193(5):1607.

Boruff, K. 2012. Health Grades Reveals C.Section Rates Across America. Available from Downloaded 12.02.2013.

Buekens P, Curtis S, Alayon S.2005. Demographic and Health Surveys: Caesarean Section Rates in Sub-Saharan Africa. BMJ. 326 (7381):136.

Burrows LJ, Meyn LA, Weber AM, 2004. Maternal Morbidity Associated With Vaginal Versus Cesarean Delivery. Obstet Gynecol May: 103 (5pt 1): 907 – 912

Chege M.J., 2007. To Evaluate the Decision to Delivery Interval for Emergency Caesarean Section at Kenyatta National Hospital and Homa-bay District Hospital and its Effect on foetal and Maternal outcome. MMed. Thesis, University of Nairobi.

Chemwolo BT., 2007. Pattern of Caesarean Section at St. Mary’s Mission Hospital-Langata, Nairobi. MMed. Thesis, University of Nairobi. Delivery. Obstet Gynecol 2004 May; 103(5 Pt 1):907-912.

Declercq BA, Skjeldestad FE, Sandset PM., 2006. Incidence and Risk Patterns of Venous Thromboembolism in Pregnancy and Puerperium – a Register-Based Case-Control Study. Am J Obstet Gynecol Feb; 198(2):233.e1.-7.

Dessole, S. Cosmi, E. Balata, A. Uras, L. Caserta, D. Capobianco, G. Ambrosini, G.2004. Accidental Fetal; Lacerations during Cesarean Delivery: Experience in an Italian level III University Hospital. American Journal of Obstetrics and Gynecology. 2004; 191(5):1673. Feb; 113(2Pt1):293-9.

DiMatteo MR, Morton SC, Lepper HS, et al. Cesarean Childbirth and Psychological Outcomes: A Meta-analysis. Health Psychol. 1996; 15:303-314


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