n Obstetrics and Gynaecology Forum - Complications following caesarean delivery at King Edward VIII hospital, Durban, South Africa : original article

Volume 14, Issue 3
  • ISSN : 1027-9148



&lt;I&gt;Aim:&lt;/I&gt; This study was designed to determine the prevalence of complications associated with caesarean section in a setting of high caesarean section and HIV rates. &lt;br&gt;&lt;I&gt;Setting:&lt;/I&gt; A tertiary teaching hospital in Durban, South Africa. <br><I>Design: &lt;/I&gt; A retrospective analysis. <br><I>Methods: &lt;/I&gt; A detailed review of the records of 737 caesarean sections performed over a three month period. &lt;br&gt;&lt;I&gt; Results: &lt;/I&gt; The overall complication rate was 14.2%. Major complications included bladder injury, endometritis, wound sepsis and post-partum haemorrhage. HIV infection may have a negative impact on morbidity rates. Disimpacting the fetal head vaginally had a significant association with endometritis (p=0.021). The use of a corrugated drain did not prevent wound sepsis (p < 0.001). <br><I>Conclusion: </I>Complications associated with caesarean section are common is a setting of high caesarean section rates and HIV infection.

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