n Obstetrics and Gynaecology Forum - Complications following caesarean delivery at King Edward VIII hospital, Durban, South Africa : original article
|Article Title||Complications following caesarean delivery at King Edward VIII hospital, Durban, South Africa : original article|
|© Publisher:||In House Publications|
|Journal||Obstetrics and Gynaecology Forum|
|Author||M. Moodliar and J. Moodley|
|Publication Date||Aug 2004|
|Pages||21 - 26|
<I>Aim:</I> This study was designed to determine the prevalence of complications associated with caesarean section in a setting of high caesarean section and HIV rates. <br><I>Setting:</I> A tertiary teaching hospital in Durban, South Africa. <br><I>Design: </I> A retrospective analysis. <br><I>Methods: </I> A detailed review of the records of 737 caesarean sections performed over a three month period. <br><I> Results: </I> 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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