Retrospective study from Harare Central Maternity Hospital comparing Symphysiotomies with Caesarean Sections for similar indications

Verkuyl, D. A. A.

doi:10.4314/cajm.v52i7-8.62584

Cited by 2 publications

(24 citation statements)

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“…Seven case comparison studies were included in the review . The process of literature search and selection is given in Figure .…”

Section: Resultsmentioning

confidence: 99%

“…The studies were conducted between 1961 and 2006 and compared symphysiotomy and caesarean section for obstructed labour. A variety of settings were reported, one study took place in rural hospitals, two studies took place in general hospitals and three in central or referral hospitals, and one study did not report the setting . Two studies reported on the cadre of the operator, in one study mainly obstetricians performed both symphysiotomies and caesarean sections, and in another study, during the earliest years of the study, symphysiotomies were performed by experienced doctors .…”

Section: Resultsmentioning

confidence: 99%

“…Four studies reported a diagnosis of cephalopelvic disproportion on which the definition of obstructed labour was based, following failure to progress . Three studies gave limited details reporting only that assisted delivery had failed or that the procedure was performed due to obstructed labour . Studies reported on maternal, neonatal or perinatal mortality.…”

Section: Resultsmentioning

confidence: 99%

“…All studies reported similar patient characteristics in terms of age and parity. Most women were between 20 and 30 years of age and were primigravid . Two studies reported more primigravid participants in the symphysiotomy groups and one study reported a lower maternal height in the symphysiotomy group when compared with the caesarean section group .…”

Section: Resultsmentioning

confidence: 99%

“…Two studies gave limited information and stated that both procedures were performed under similar conditions or during the same period of time . A further study stated difficulties in finding equal groups to compare …”

Section: Resultsmentioning

confidence: 99%

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Symphysiotomy for obstructed labour: a systematic review and meta‐analysis

Wilson

Truchanowicz

Elmoghazy

et al. 2016

BJOG

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Background Obstructed labour is a major cause of maternal mortality. Caesarean section can be associated with risks, particularly in low-and middle-income countries, where it is not always readily available. Symphysiotomy can be an alternative treatment for obstructed labour and requires fewer resources. However, there is uncertainty about the safety and effectiveness of this procedure.Objectives To compare symphysiotomy and caesarean section for obstructed labour.Search strategy MEDLINE, EMBASE, Cochrane library, CINAHL, African Index Medicus, Reproductive Health Library and Science Citation Index (from inception to November 2015) without language restriction.Selection criteria Studies comparing symphysiotomy and caesarean section in all settings, with maternal and perinatal mortality as key outcomes.Data collection and analysis Quality of the included studies was assessed using the STROBE checklist and the Newcastle Ottawa scale. Relative risks (RR) were pooled using the random effects model. Heterogeneity was assessed using I 2 tests.Main results Seven studies (n = 1266 women), all of which were set in low-and middle-income countries (as per the World Bank definition) and compared symphysiotomy and caesarean section were identified. Meta-analyses showed no significant difference in maternal (RR 0.48, 95% CI 0.13-1.76; P = 0.27) or perinatal (RR 1.12, 95% CI 0.64-1.96; P = 0.69) mortality with symphysiotomy when compared with caesarean section. There was a reduction in infection (RR 0.30, 95% CI 0.14-0.62) but an increase in fistulae (RR 4.19,) and stress incontinence with symphysiotomy (RR 10.04, 95% CI 3.23-31.21).Conclusion There was no difference in key outcomes of maternal and perinatal mortality with symphysiotomy when compared with caesarean section.Keywords Caesarean section, low-and middle-income countries, obstructed labour, symphysiotomy.Tweetable abstract Symphysiotomy could be an alternative to caesarean section when resources are limited.

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“…Seven case comparison studies were included in the review . The process of literature search and selection is given in Figure .…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Symphysiotomy for obstructed labour: a systematic review and meta‐analysis

Wilson

Truchanowicz

Elmoghazy

et al. 2016

BJOG

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Optimizing Blood Transfusion Service Delivery across the West African Sub-Region

Erhabor,

O. Akpotuzor,

Yaw Afriyie

et al. 2023

Thalassemia Syndromes - New Insights and Transfusion Modalities

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The sub-continent of West Africa is made up of 16 countries: Benin, Burkina Faso, Cape Verde, Ghana, Guinea, Guinea-Bissau, Ivory Coast, Liberia, Mali, Mauritania, Niger, Nigeria, Senegal, Sierra Leone, The Gambia and Togo. As of 2018, the population of the sub-continent was estimated at about 381 million. The main challenge associated with blood transfusion service delivery across the sub-region concerns adequacy and safety. In this chapter, we highlighted the challenges associated with the delivery of a quality blood transfusion service in countries in the sub-region including: implementation of component therapy rather than whole blood transfusion, effective cold chain management of blood and blood products, alloimmunization prevention, implementation of column agglutination and automation rather than the convention manual tube method in blood transfusion testing, effective management of major haemorrhage, optimization of screening for transfusion transmissible infections, optimizing blood donation, implementation of universal leucodepletion of blood and blood products, effective management of transfusion-dependent patients, pre-operative planning and management of surgical patients, management of Rhesus D negative pregnancy and women with clinically significant alloantibodies, implementation of haemovigilance system, implementation of alternatives to allogenic blood, availability and use of specialized blood products, optimizing safe blood donation, enhancing blood transfusion safety, operating a quality management system-based blood transfusion service and implementation of non-invasive cell-free foetal DNA testing. There is the urgent need for the implementation of evidence-based best practices in blood transfusion service delivery across the sub-region to allow for excellent, safe, adequate and timely blood transfusion service delivery across the sub-region.

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Retrospective study from Harare Central Maternity Hospital comparing Symphysiotomies with Caesarean Sections for similar indications

Cited by 2 publications

References 0 publications

Symphysiotomy for obstructed labour: a systematic review and meta‐analysis

Symphysiotomy for obstructed labour: a systematic review and meta‐analysis

Optimizing Blood Transfusion Service Delivery across the West African Sub-Region

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