Audit of term elective caesarean section outcomes at Tygerberg Academic Hospital
Date
2021-12
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Stellenbosch : Stellenbosch University
Abstract
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.
AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar
AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar
Description
Thesis (MMed)--Stellenbosch University, 2021.
Keywords
Elective caesarean section, UCTD, Cesarean section -- Emergency, Delivery (Obstetrics)