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Length of Hospital Stay After Cesarean Delivery and Its Determinants Among Women in Eastern Sudan

BACKGROUND: There is an increasing caesarean delivery (CD) rate globally. Length of hospital stay (LoS) is longer in CD compared with vaginal delivery. There are few published data on LoS following CD in Africa, including Sudan. We aimed to investigate LoS after CD in eastern Sudan and its associate...

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Autores principales: Hassan, Bahaeldin, Mandar, Omer, Alhabardi, Nadiah, Adam, Ishag
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166897/
https://www.ncbi.nlm.nih.gov/pubmed/35668821
http://dx.doi.org/10.2147/IJWH.S356855
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author Hassan, Bahaeldin
Mandar, Omer
Alhabardi, Nadiah
Adam, Ishag
author_facet Hassan, Bahaeldin
Mandar, Omer
Alhabardi, Nadiah
Adam, Ishag
author_sort Hassan, Bahaeldin
collection PubMed
description BACKGROUND: There is an increasing caesarean delivery (CD) rate globally. Length of hospital stay (LoS) is longer in CD compared with vaginal delivery. There are few published data on LoS following CD in Africa, including Sudan. We aimed to investigate LoS after CD in eastern Sudan and its associated risk factors. METHODS: A cross-sectional study was conducted at Gadarif hospital in eastern Sudan from May to December 2020. Sociodemographic, clinical and obstetrical data were gathered through questionnaires. Poisson regressions were used to model the LoS and provide relative risk (RR) and a 95.0% confidence interval (CI). RESULTS: We enrolled 544 women with CD. The median (interquartile range, IQR) of their age and parity was 28.0 (24.0 ‒32.0) years and 3(2‒3), respectively. The LoS range was 1.0–9.0 days (mean = 2.7 days) and its median (IRQ) was 3.0 (2.0‒3.0) days. The median (IQR) of the LoS was significantly higher in women who had emergency CD vs elective CD, [3 (3.0‒3.0) vs 3 (2.0‒3.0) days, P < 0.001] and in women with maternal complications vs women who had no maternal complications [3 (2.0‒3.0) vs 3 (2.0‒3.0) days, P < 0.001]. Poisson regression showed that women with emergency CD stayed for 13.0% longer than women with elective CD (RR=1.13, 95% CI=1.01‒1.29). Women with maternal complications stayed 24.0% longer than women who had no maternal complications (RR=1.24, 95% CI=1.07‒1.43). Women who had neonatal complications stayed for 21.0% longer than women who had no neonatal complications (RR=1.21, 95% CI=1.05‒1.40). Age, parity, residence, education, occupation and postoperative haemoglobin were not associated with LoS. CONCLUSION: The mean LoS in this study was 2.7 days, and women with emergency CD and maternal and neonatal complications had longer LoS.
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spelling pubmed-91668972022-06-05 Length of Hospital Stay After Cesarean Delivery and Its Determinants Among Women in Eastern Sudan Hassan, Bahaeldin Mandar, Omer Alhabardi, Nadiah Adam, Ishag Int J Womens Health Original Research BACKGROUND: There is an increasing caesarean delivery (CD) rate globally. Length of hospital stay (LoS) is longer in CD compared with vaginal delivery. There are few published data on LoS following CD in Africa, including Sudan. We aimed to investigate LoS after CD in eastern Sudan and its associated risk factors. METHODS: A cross-sectional study was conducted at Gadarif hospital in eastern Sudan from May to December 2020. Sociodemographic, clinical and obstetrical data were gathered through questionnaires. Poisson regressions were used to model the LoS and provide relative risk (RR) and a 95.0% confidence interval (CI). RESULTS: We enrolled 544 women with CD. The median (interquartile range, IQR) of their age and parity was 28.0 (24.0 ‒32.0) years and 3(2‒3), respectively. The LoS range was 1.0–9.0 days (mean = 2.7 days) and its median (IRQ) was 3.0 (2.0‒3.0) days. The median (IQR) of the LoS was significantly higher in women who had emergency CD vs elective CD, [3 (3.0‒3.0) vs 3 (2.0‒3.0) days, P < 0.001] and in women with maternal complications vs women who had no maternal complications [3 (2.0‒3.0) vs 3 (2.0‒3.0) days, P < 0.001]. Poisson regression showed that women with emergency CD stayed for 13.0% longer than women with elective CD (RR=1.13, 95% CI=1.01‒1.29). Women with maternal complications stayed 24.0% longer than women who had no maternal complications (RR=1.24, 95% CI=1.07‒1.43). Women who had neonatal complications stayed for 21.0% longer than women who had no neonatal complications (RR=1.21, 95% CI=1.05‒1.40). Age, parity, residence, education, occupation and postoperative haemoglobin were not associated with LoS. CONCLUSION: The mean LoS in this study was 2.7 days, and women with emergency CD and maternal and neonatal complications had longer LoS. Dove 2022-05-31 /pmc/articles/PMC9166897/ /pubmed/35668821 http://dx.doi.org/10.2147/IJWH.S356855 Text en © 2022 Hassan et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Hassan, Bahaeldin
Mandar, Omer
Alhabardi, Nadiah
Adam, Ishag
Length of Hospital Stay After Cesarean Delivery and Its Determinants Among Women in Eastern Sudan
title Length of Hospital Stay After Cesarean Delivery and Its Determinants Among Women in Eastern Sudan
title_full Length of Hospital Stay After Cesarean Delivery and Its Determinants Among Women in Eastern Sudan
title_fullStr Length of Hospital Stay After Cesarean Delivery and Its Determinants Among Women in Eastern Sudan
title_full_unstemmed Length of Hospital Stay After Cesarean Delivery and Its Determinants Among Women in Eastern Sudan
title_short Length of Hospital Stay After Cesarean Delivery and Its Determinants Among Women in Eastern Sudan
title_sort length of hospital stay after cesarean delivery and its determinants among women in eastern sudan
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166897/
https://www.ncbi.nlm.nih.gov/pubmed/35668821
http://dx.doi.org/10.2147/IJWH.S356855
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