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Feto-maternal Outcomes of Emergency Caesarean Section following Residential Posting at Dhading District Hospital
INTRODUCTION: Caesarean section is a commonly performed major obstetric surgery to deliver baby under certain indications which may be maternal or fetal. If performed timely, it is helpful to save the life of mother and fetus and if not, it increases both maternal and fetal risks. METHODS: A hospita...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Journal of the Nepal Medical Association
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8997301/ https://www.ncbi.nlm.nih.gov/pubmed/30376002 |
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author | Kattel, Pramod |
author_facet | Kattel, Pramod |
author_sort | Kattel, Pramod |
collection | PubMed |
description | INTRODUCTION: Caesarean section is a commonly performed major obstetric surgery to deliver baby under certain indications which may be maternal or fetal. If performed timely, it is helpful to save the life of mother and fetus and if not, it increases both maternal and fetal risks. METHODS: A hospital based descriptive cross-sectional study was conducted at Dhading district hospital from 17(th) October 2016 to 17(th) October 2017. Total of 41 patients undergoing emergency caesarean section meeting the selection criteria were included. RESULTS: The incidence of emergency caesarean section was 41 (5.5%). Most common indication for caesarean delivery was fetal distress in 12 (29.3%) followed by failed induction and cephalopelvic disproportion each accounting 6 (14.6%) cases. The least common causes being chorioamnionitis and cord prolapse in 1 (2.4%). Regarding perinatal outcomes, 33 (80.5%) babies delivered were of normal weight. Low Apgar score (<7) at one minute was noted in 8 (19.5%) cases. Neonatal resuscitation in the form of oxygen supplementation was required in 2 (4.9%) cases whereas bag and mask ventilation was required in 5 (12.2%) cases. Referral for neonatal intensive care unit admission was done in 6 (14.6%) cases. There were three neonatal deaths. CONCLUSIONS: Residential posting was fruitful to decrease feto-maternal morbidities and mortalities. Even to minimize the delay of treatment, government should provide adequate equipments and skilled man-power to run neonatal intensive care unit. |
format | Online Article Text |
id | pubmed-8997301 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Journal of the Nepal Medical Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-89973012022-05-06 Feto-maternal Outcomes of Emergency Caesarean Section following Residential Posting at Dhading District Hospital Kattel, Pramod JNMA J Nepal Med Assoc Original Article INTRODUCTION: Caesarean section is a commonly performed major obstetric surgery to deliver baby under certain indications which may be maternal or fetal. If performed timely, it is helpful to save the life of mother and fetus and if not, it increases both maternal and fetal risks. METHODS: A hospital based descriptive cross-sectional study was conducted at Dhading district hospital from 17(th) October 2016 to 17(th) October 2017. Total of 41 patients undergoing emergency caesarean section meeting the selection criteria were included. RESULTS: The incidence of emergency caesarean section was 41 (5.5%). Most common indication for caesarean delivery was fetal distress in 12 (29.3%) followed by failed induction and cephalopelvic disproportion each accounting 6 (14.6%) cases. The least common causes being chorioamnionitis and cord prolapse in 1 (2.4%). Regarding perinatal outcomes, 33 (80.5%) babies delivered were of normal weight. Low Apgar score (<7) at one minute was noted in 8 (19.5%) cases. Neonatal resuscitation in the form of oxygen supplementation was required in 2 (4.9%) cases whereas bag and mask ventilation was required in 5 (12.2%) cases. Referral for neonatal intensive care unit admission was done in 6 (14.6%) cases. There were three neonatal deaths. CONCLUSIONS: Residential posting was fruitful to decrease feto-maternal morbidities and mortalities. Even to minimize the delay of treatment, government should provide adequate equipments and skilled man-power to run neonatal intensive care unit. Journal of the Nepal Medical Association 2018 2018-04-30 /pmc/articles/PMC8997301/ /pubmed/30376002 Text en Journal of the Nepal Medical Association https://creativecommons.org/licenses/by-nc/3.0/This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kattel, Pramod Feto-maternal Outcomes of Emergency Caesarean Section following Residential Posting at Dhading District Hospital |
title | Feto-maternal Outcomes of Emergency Caesarean Section following Residential Posting at Dhading District Hospital |
title_full | Feto-maternal Outcomes of Emergency Caesarean Section following Residential Posting at Dhading District Hospital |
title_fullStr | Feto-maternal Outcomes of Emergency Caesarean Section following Residential Posting at Dhading District Hospital |
title_full_unstemmed | Feto-maternal Outcomes of Emergency Caesarean Section following Residential Posting at Dhading District Hospital |
title_short | Feto-maternal Outcomes of Emergency Caesarean Section following Residential Posting at Dhading District Hospital |
title_sort | feto-maternal outcomes of emergency caesarean section following residential posting at dhading district hospital |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8997301/ https://www.ncbi.nlm.nih.gov/pubmed/30376002 |
work_keys_str_mv | AT kattelpramod fetomaternaloutcomesofemergencycaesareansectionfollowingresidentialpostingatdhadingdistricthospital |