Browsing by Author "De Jager, Kobie"

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    Audit of term elective caesarean section outcomes at Tygerberg Academic Hospital
    (Stellenbosch : Stellenbosch University, 2021-12) De Jager, Kobie; Geerts, Lutgart Therese Gaston Maria; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Obstetrics and Gynaecology.
    ENGLISH ABSTRACT: Aim The aim of this study was to determine the proportion of patients intended for elective caesarean section (ELCS) at  39+0 weeks who are converted to emergency caesarean sections (EMCS) or normal vaginal delivery (NVD) and risk factors associated with these. Materials and Methods This retrospective observational study was conducted at Tygerberg Academic Hospital (TAH) which is a secondary and tertiary level hospital. Data was collected for all patients eligible for ELCS at  39+0 weeks with certain gestational age (GA). Data was collected on antenatal, peri- partum and post-partum information on maternal and neonatal outcome. Results Of the 307 patients who were eligible for ELCS at ≥ 39 weeks, 76 (24.8%) went into labour before their planned surgery date, 110 (35.8%) had their surgery postponed, 99 (32.2%) ended their pregnancy with an EMCS and 2 (0.7%) with NVD. There was no significant difference in the mean GA at delivery for patients in labour (39+1, SD 4 days) and patients who did not go into labour (39+1, SD 4 days) (p = 0.4). There was no significant difference in maternal or neonatal outcomes between groups who delivered < 39+0 weeks and  39+0 weeks. Conclusion ELCS theatre list over-run is a common problem in obstetric units and our setting is no exception. Considering there was no significant difference in maternal or neonatal outcome between groups that delivered at < 39+0 weeks and  39+0 weeks we could consider booking ELCS at a marginally earlier gestational age to reduce the rate of conversion to EMCS.