Postoperative Complications and Risk Factors among Women Who Underwent Caesarean Delivery from Northern Tanzania: A Hospital-Based Analytical Cross-Sectional Study

Mangi, Glory; Mlay, Pendo; Oneko, Olola; Maokola, Werner; Swai, Patricia

doi:10.4236/ojog.2022.124023

Cited by 5 publications

(7 citation statements)

References 24 publications

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“…In this study, the trend of the Primary CS section has been constantly high, with an overall prevalence of primary CS of 36.8% accounting to more than half of the total prevalence of CS in our setting (20). Litorp et al reported nearly same results of the trend of primary caesarean section for the past one decade (11).…”

Section: Discussionsupporting

confidence: 52%

Primary caesarean section: trend, predictors and outcomes among low risk multiparous women at tertiary hospital northern Tanzania: a cross sectional study

Maingu,

Masenga,

Mchome

et al. 2024

Preprint

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Background: Cesarean section rate has been increasing worldwide, surpassing the standard cesarean section rate set by WHO of 10-15%. Primary cesarean section has been a major contributor to the overall Cesarean section rates. Studies have reported much on primary caesarean section on prime parous however the prevalence, risk factors and outcomes of caesarean section in multiparous women who had previous vaginal birth are still understudied. Therefore, the study aimed to determine the trend and predictors, and outcome of primary cesarean section in low-risk multiparous women. Method: We conducted a cross-sectional study using birth registry linked data from Kilimanjaro Christian medical center from 2012 to 2021. Multiparous women who delivered from 37 to 42 weeks were enrolled in the study after exclusion of those with medical and obstetric risk condition. Social demographic and obstetric characteristics were used to determine the predictors of caesarean section by using multivariate logistic regression. Maternal and neonatal outcome were computed using chi squire. Results: Total of 12760 multiparous women were enrolled for analysis, the overall prevalence of primary CS of 36.8%, the indications reported were fetal distress, malposition and labor dystocia. During the study period the trend has been constantly high, with its peak prevalence of 41.0%, there was a gradual decline of prevalence to 22.4% from 2019 to 2021. Advanced maternal age >35 years and obesity were independent predictors of primary caesarean section (AOR 1.15, 95%CI 1.06-1.26, AOR1.40 95%CI 1.09-1.80). Maternal and neonatal outcomes associated with primary CS were postpartum hemorrhage, blood transfusion and Apgar score of >7 in first minute. Conclusion: The trend of CS was high and factors contributing to CS were maternal obesity and advance maternal age. Pre conceptual counseling to women in communities and antenatal clinics on health education on diet and lifestyle modification are key in reducing the burden of obesity.

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Section: Discussionsupporting

confidence: 52%

Primary caesarean section: trend, predictors and outcomes among low risk multiparous women at tertiary hospital northern Tanzania: a cross sectional study

Maingu,

Masenga,

Mchome

et al. 2024

Preprint

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“…These include the mechanism of injury, Patient admission path(direct from emergency department to Operating room or Surgical ward/unit), and the process of diagnosis and initial management ( 17 ). Factors like the duration of illness, preoperative diagnoses, and the need for ICU admission were also highlighted ( 19 ) Moreover, the availability of emergency case operating rooms, pre-surgical antibiotics, and essential surgical equipment were crucial considerations ( 20 , 29 ). Issues such as reduced access to advanced imaging techniques, interrupted referral linkages between health facilities, and turnover of trained manpower contribute to deficits in care.…”

Section: Resultsmentioning

confidence: 99%

Incidence and predictors of postoperative complications in Sub-Saharan Africa: a systematic review and meta-analysis

Yadeta,

Manyazewal,

Demessie

et al. 2024

Front. Health Serv.

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BackgroundPostoperative complications remain a significant challenge, especially in settings where healthcare access and infrastructure disparities exacerbate. This systematic review and meta-analysis aimed to determine the pooled incidence and risk factors of postoperative complications among patients undergoing essential surgery in Sub-Saharan Africa (SSA).MethodPubMed/MEDLINE, EMBASE, CINAHL, Web of Science, and Google Scholar were searched from January 2010 to November 2022 for completed studies reporting the incidence and risk factors associated with postoperative complications among patients undergoing essential surgery in SSA. Severity of postoperative complications was ranked based on the Clavien-Dindo classification system, while risk factors were classified into three groups based on the Donabedian structure-process-outcome quality evaluation framework. Studies quality was appraised using the JBI Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI), and data were analyzed using Comprehensive Meta-Analysis (CMA) software. The study protocol adhered to the PRISMA guidelines and was registered in PROSPERO (CRD42023414342).ResultsThe meta-analysis included 19 studies (10 cohort and 9 cross-sectional) comprising a total of 24,136 patients. The pooled incidence of postoperative complications in SSA was 20.2% (95% CI: 18.7%–21.8%), with a substantial heterogeneity of incidence observed. The incidence varied from 14.6% to 27.5% based on the Clavien-Dindo classification. The random-effects model indicated significant heterogeneity among the studies (Q = 54.202, I = 66.791%, p < 0.001). Contributing factors to postoperative complications were: structure-related factors, which included the availability and accessibility of resources, as well as the quality of both the surgical facility and the hospital.; process-related factors, which encompassed surgical skills, adherence to protocols, evidence-based practices, and the quality of postoperative care; and patient outcome-related factors such as age, comorbidities, alcohol use, and overall patient health status.ConclusionThe meta-analysis reveals a high frequency of postoperative complications in SSA, with noticeable discrepancies among the studies. The analysis highlights a range of factors, encompassing structural, procedural, and patient outcome-related aspects, that contribute to these complications. The findings underscore the necessity for targeted interventions aimed at reducing complications and improving the overall quality of surgical care in the region.Systematic Reviews Registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier (CRD42023414342).

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“…Saat ini, diperkirakan sekitar 20 juta pengiriman Seksio Sesarea terjadi setiap tahun di Dunia. Jumlah wanita yang melahirkan dengan Seksio Sesarea berkembang pesat secara berkelanjutan baik di negara maju maupun berkembang dengan perkiraan tingkat prevalensi 33%, prevalensi berkisar 4% di Afrika, hingga 29% di Amerika Latin dan negara-negara Karibia (Mangi et al, 2022).…”

Section: Pendahuluanunclassified

“…Faktor yang mempengaruhi persalinan sesar di Indonesia adalah status ekonomi atas, pendidikan tinggi, daerah perkotaan, pekerjaan, usia ibu lebih dari 35 tahun, usia kehamilan lebih dari 42 minggu, primipara, persalinan dengan komplikasi, komplikasi kehamilan dan persalinan, kunjungan ANC tidak lengkap, dan kehamilan kembar (Abdulla et al, 2023). Penelitian (Mangi et al, 2022) menemukan bahwa salah satu faktor yang mempengaruhi persalinan sesar adalah persalinan dengan risiko rendah. (Rajaa et al, 2022) menyarankan persalinan sesar hanya boleh dilakukan pada wanita dengan indikasi medis tertentu, yang memiliki risiko tinggi saat persalinan, karena persalinan sesar dapat menyebabkan komplikasi permanen, kecacatan, atau kematian ibu dan bayi.…”

Section: Pendahuluanunclassified

Faktor Risiko Persalinan Seksio Sesarea

Putri,

Rosyidah

2023

JOTING

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This study aims to determine the risk factors for cesarean section delivery. The method used is an analytic observational study with a case-control design, namely comparing the case group and the control group. The results showed that the risk factor associated with cesarean section delivery was the age of the mother (ρ=0.004; OR=0.368; 95% CI=0.191-0.710). Old labor with values (ρ=0.019; OR=0.206; 95%CI95%CI=0.57-0.748). Placental condition with values (ρ=0.023; OR=9.828; 95% CI=1.220-79.166). Preeclampsia with a value (ρ=0.004; OR=3.667; 95% CI=1.554-8.653). History of caesarean section delivery (ρ=0.000; OR=8.556; 95% CI=3.736-19.591). Risk factors for caesarean section delivery that have a relationship are maternal age, prolonged labor, placental conditions, preeclampsia, and history of caesarean section delivery. while the risk factors that have no relationship are pelvic conditions, abnormal location, macrosomia, number of fetuses, fetal distress, premature rupture of membranes, preterm labor, and preterm labor. In conclusion, knowing the factors of caesarean section is expected to reduce the incidence of cesarean section for the welfare of the mother and fetus by promoting health and providing health services according to the needs of the mother and fetus from an early age so as not to have complications in labor and pregnancy. Keywords: Risk Factors, Childbirth, Caesarean Section

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Postoperative Complications and Risk Factors among Women Who Underwent Caesarean Delivery from Northern Tanzania: A Hospital-Based Analytical Cross-Sectional Study

Cited by 5 publications

References 24 publications

Primary caesarean section: trend, predictors and outcomes among low risk multiparous women at tertiary hospital northern Tanzania: a cross sectional study

Primary caesarean section: trend, predictors and outcomes among low risk multiparous women at tertiary hospital northern Tanzania: a cross sectional study

Incidence and predictors of postoperative complications in Sub-Saharan Africa: a systematic review and meta-analysis

Faktor Risiko Persalinan Seksio Sesarea

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