Browsing by Author "Mbunga, Erick Augustino"

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    Prevalence of primary Caesarean Section deliveries among primiparous and multiparous women at Iringa regional referral hospital, Tanzania
    (South Sudan Doctors Association, 2019) Mbunga, Erick Augustino; Mwampagatwa, Ipyana Hudson; Ernest, Alex Ibolinga
    Introduction: Primary Caesarean Section (CS) is an operation that is performed for the first time on a pregnant woman. Primary CS is of particular interest because it has an influence on future modes of delivery. There is also an issue about the original indication for the procedure both in a woman who has never tried her pelvis for vaginal delivery and a woman who has delivered vaginally in the past. Objectives: To determine the prevalence, indications, and outcomes of primary CS deliveries among primiparous and multiparous women, and associations with some demographic characteristics among pregnant women who deliver at Iringa Regional Referral Hospital, Tanzania. Methods: An analytical cross section hospital based study was used with a quantitative research approach. A sample size of 247 of primary CS deliveries was obtained. A structured questionnaire was used to collect the data and the Statistical Package for Service Solutions (v. 23) software programme was used for data entry and analysis. Results: The prevalence rate of primary CS delivery was 247 (21.6%) out of 1144 deliveries between January 2017 and June 2018. The highest indication for CS was foetal distress which was foetal heart rate below 120b/m and above 160 b/m 79 (32.0%) followed by prolonged labour 65 (25.1%). Maternal outcomes revealed that 65 (26.3%) women experienced significant blood loss which was above 1000mls, with blood transfusion of at least more than one unit of blood (PPH) followed by 29 (11.7%) who experienced a high body temperature above 37.5 degree of centigrade. The new born outcomes found that 128 (51.8%) were unable to breast feed and 95 (38.5%) had low Apgar scores below 7 in the 1st and 5th minute. Conclusion: There was a high prevalence of primary CS among primiparous and multiparous women which is above the recommended WHO threshold of 15%. Also, the highest indication for primary CS was foetal distress. The most common complication for the mother was significant blood loss and the commonest newborn complication was that the baby was unable to breastfeed.
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    Primary caesarean deliveries: prevalence, indications and management outcomes among pregnant women who deliver at Iringa region referral hospital
    (The University of Dodoma, 2018) Mbunga, Erick Augustino
    Background: Primary caesarian section is an operation that is performed for the first time on a pregnant woman. Primary caesarean section is of particular interest because it has an influence on future modes of delivery and is of concern as to what was the indication for procedure in a woman who has never tried her pelvis for vaginal delivery. Objectives: The study intended to determine; prevalence, indications, management outcomes of primary caesarean deliveries and association with some demographic characteristics among pregnant women who deliver at Iringa Region Referral Hospital, Southern Highlands of Tanzania. Methods: It was an analytical cross section hospital based study with quantitative research approach. A purposive sampling technique was employed for achieving a sample size of 247 of primary caesarian deliveries. A structured questionnaire was the main data collection method and the Statistical Package for Service Solution (v. 23) software program was used for data entry and analysis. Results: Prevalence rate of primary caesarean delivery was 247 (21.59%) out of 1144 deliveries during the study period. Findings revealed that the highest indication for caesarian section was fetal distress 79 (32.0%) followed by prolonged labor 65(25.1%). Maternal management outcomes revealed that 65 (26.3%) women experienced blood loss followed by 29 (11.7%) who experienced high body temperature. The new born management outcomes found that 128 (51.8%) were unable to breast feed and 95(38.5%) had low Apgar score. A logistic regression analysis revealed that women with primary and college/university education were more likely to undergo primary caesarian section (P<0.05). Conclusion: There was high prevalence of primary caesarean section among prime and multiparous women which is beyond the recommended WHO threshold of 15%. Also, highest indication for primary c/s was fetal distress; highest complication for mother was significant blood loss and newborn management outcome was unable to breastfeed.