An evaluation of the decision-to-incision interval for caesarean sections at Chris Hani Baragwaneth Academic Hospital

Simple item page
dc.contributor.authorWilliams, Melissa Denielle
dc.date.accessioned2021-10-13T12:11:11Z
dc.date.available2021-10-13T12:11:11Z
dc.date.issued2020
dc.descriptionA research report submitted in partial fulfilment of the requirements for the degree of Master of Medicine in the speciality of Obstetrics and Gynaecology to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, 2020en_ZA
dc.description.abstractBackground The decision-to-incision interval (DTII) at Chris Hani Baragwanath Academic Hospital (CHBAH) was unknown, the main objective of this study was to evaluate the DTII for emergency caesarean sections (EMCS) at CHBAH, a tertiary hospital in Soweto, Johannesburg. The caesarean section (CS) rate at CHBAH has steadily increased over the past few years; however the infrastructure and staffing at CHBAH has remained the same.Methods This was a cross sectional retrospective study of women who had a CS at CHBAH from the 1st of May 2016 to the 31st of May 2016. The hospital files were retrieved for the data collection. Results A total of 464 files were used. The median age of the women was 28 years and the median parity was two. The median DTII was 354.5 minutes (IQR: 190-595.75; range: 30-10570). Suspected uterine rupture achieved the shortest median decision-to-anaesthetic interval (DTAI) of 50 minutes (IQR: 920-145; range: 20-145) and foetal compromise had the longest median DTAI of 545 minutes (IQR: 232.5-808; range: 180-1355.The median DTAI was 350 minutes (IQR: 175-627; range: 20-10545). The top three Robson Ten Group Classification System (RTGCS) were groups 5, 10 and 1 which contributed 62.5% to the CS rate. The majority of the indications for elective caesarean section (ELCS) were previous CS (85.1%). The most frequent indications for EMCS were FD (58.1%). An adverse maternal morbidity occurred in 23 (5%) women, with PPH and the need for blood transfusion being the predominating factor. One hundred and twenty four (25.5%) neonates required admission. The main admission reason was respiratory distress. Conclusion The DTII was 4.7 times the 75 minute recommended NICE Guidelines for a category 2 CS and six times longer than the proposed 60 minutes stipulated in the Guidelines for Maternity Care in South Africa.en_ZA
dc.description.librarianTL (2021)en_ZA
dc.facultyFaculty of Health Sciencesen_ZA
dc.identifier.urihttps://hdl.handle.net/10539/31696
dc.language.isoenen_ZA
dc.schoolSchool of Medicineen_ZA
dc.titleAn evaluation of the decision-to-incision interval for caesarean sections at Chris Hani Baragwaneth Academic Hospitalen_ZA
dc.typeThesisen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
Mmed 06 March 2020 (1).pdf
Size:
2.96 MB
Format:
Adobe Portable Document Format
Description:
Main Work
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
ETD Collection