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Puerperal Morbidity Following Caesarean Section in a Teaching Hospital in Ghana

Received: 1 July 2015     Accepted: 4 July 2015     Published: 10 July 2015
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Abstract

A prospective descriptive study was undertaken to determine the incidence and causes of puerperal morbidity after caesarean section in the department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital from 1st to 30th June 2010. There were a total of 906 deliveries during the study period, of which 299 had caesarean section giving a caesarean section rate of 33%. Primary caesarean section was 57.7%. The incidence of puerperal morbidity after caesarean section was 45.6%. Painful incisional site (21%), puerperal febrile morbidity (16%), depression (12.0%) severe anaemia (12%) Urinary tract infection (6.2%) and wound infections (5.8%) were the leading causes of puerperal morbidities. Other morbidities included hypertensive disorders (4.2%), malaria (3.2%) mastitis (2.5%), postpartum haemorrhage (2.1%), and endometritis (1.2%). Conculsion: There was considerable maternal morbidity after caesarean section at the Korle Bu Teaching Hospital. There is a need for improvements in post operative care to reduce puerperal morbidity following caesarean section; adequate post operative pain management would reduce morbidity to a greater extent.

Published in Journal of Gynecology and Obstetrics (Volume 3, Issue 4)
DOI 10.11648/j.jgo.20150304.15
Page(s) 92-97
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Puerperal, Maternal, Post-Caesarean Section, Postpartum Morbidity

References
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[4] Waterstone M, Wolfe C, Hooper R, Bewley S. Postnatal morbidity after childbirth and severe obstetric morbidity. BJOG. 2003; 110:128–133.
[5] Fikree FF, Ali T, Durocher JM, Rahbar MH. Health service utilization for perceived postpartum morbidity among poor women living in Karachi. SocSci Med. 2004; 59:681–694. Doi: 10.1016/j.socscimed.2003.11.034.
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[8] Villar J, Valladares E, Wojdyla D, Zavaleta N, Carroli G, Velazco A, et al. Caesarean delivery rates and pregnancy outcomes: the 2005 WHO global survey on maternal and perinatal health in Latin America. Lancet 2006; 367(9525): 1819–29
[9] Villar J, Carroli G, Zavaleta N, Donner A, Wojdyla D, Faundes A, et al. Maternal and neonatal individual risks and benefits associated with caesarean delivery: multicentre prospective study. BMJ 2007; 335(7628):1025
[10] Okonta Pl, Otoide VO, Okogbenin S. Caesarean section at the University of Benin Teaching Hospital revisited. Trop J ObstetGynaecol 2003; 20: 63-66
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[13] Zurayk H, Khattab H, Younis N, ELMouelhy M, Fadle M. Concepts and measures of reproducted morbidity. Health Transit Rev. 1993; 3: 17-40
[14] Hillian EM. Postoperative morbidity following caesarean delivery. J AdvNurs 1995; 22: 1035 – 42
[15] Cepicky P, Stembera Z, Zeman V, Lomickova T, Mandys F. When is it possible to meet the wish of a woman to terminate her labour by caesarean section? Europ J obstetGynaecol 1990; 38; 109-112
[16] Danso KA. Abdominal wound infection complicating caesarean section. GhanaMed J 1998, 32 b: 1003-9
[17] Tran TS., Jamulitrat S; Chongsuvivatwong V. Greater A. Risk factors for post caesarean surgical site infection. Obstet and GynaecolVol 95, Number 3, March 2000, 367-371(5)
[18] Brumffield CG, Hauth JC, Andrews WW. Puerperal Infection after cesarean delivery: evaluation of a standardized protocol. Am J ObstetGynecol 2000 May; 182(5): 1147-51
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Cite This Article
  • APA Style

    David Mireku Aduama, Samuel A. Obed, Joseph D. Seffah, Solomon K. Gumanga. (2015). Puerperal Morbidity Following Caesarean Section in a Teaching Hospital in Ghana. Journal of Gynecology and Obstetrics, 3(4), 92-97. https://doi.org/10.11648/j.jgo.20150304.15

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    ACS Style

    David Mireku Aduama; Samuel A. Obed; Joseph D. Seffah; Solomon K. Gumanga. Puerperal Morbidity Following Caesarean Section in a Teaching Hospital in Ghana. J. Gynecol. Obstet. 2015, 3(4), 92-97. doi: 10.11648/j.jgo.20150304.15

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    AMA Style

    David Mireku Aduama, Samuel A. Obed, Joseph D. Seffah, Solomon K. Gumanga. Puerperal Morbidity Following Caesarean Section in a Teaching Hospital in Ghana. J Gynecol Obstet. 2015;3(4):92-97. doi: 10.11648/j.jgo.20150304.15

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  • @article{10.11648/j.jgo.20150304.15,
      author = {David Mireku Aduama and Samuel A. Obed and Joseph D. Seffah and Solomon K. Gumanga},
      title = {Puerperal Morbidity Following Caesarean Section in a Teaching Hospital in Ghana},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {3},
      number = {4},
      pages = {92-97},
      doi = {10.11648/j.jgo.20150304.15},
      url = {https://doi.org/10.11648/j.jgo.20150304.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20150304.15},
      abstract = {A prospective descriptive study was undertaken to determine the incidence and causes of puerperal morbidity after caesarean section in the department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital from 1st to 30th June 2010. There were a total of 906 deliveries during the study period, of which 299 had caesarean section giving a caesarean section rate of 33%. Primary caesarean section was 57.7%. The incidence of puerperal morbidity after caesarean section was 45.6%. Painful incisional site (21%), puerperal febrile morbidity (16%), depression (12.0%) severe anaemia (12%) Urinary tract infection (6.2%) and wound infections (5.8%) were the leading causes of puerperal morbidities. Other morbidities included hypertensive disorders (4.2%), malaria (3.2%) mastitis (2.5%), postpartum haemorrhage (2.1%), and endometritis (1.2%). Conculsion: There was considerable maternal morbidity after caesarean section at the Korle Bu Teaching Hospital. There is a need for improvements in post operative care to reduce puerperal morbidity following caesarean section; adequate post operative pain management would reduce morbidity to a greater extent.},
     year = {2015}
    }
    

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    AU  - David Mireku Aduama
    AU  - Samuel A. Obed
    AU  - Joseph D. Seffah
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    AB  - A prospective descriptive study was undertaken to determine the incidence and causes of puerperal morbidity after caesarean section in the department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital from 1st to 30th June 2010. There were a total of 906 deliveries during the study period, of which 299 had caesarean section giving a caesarean section rate of 33%. Primary caesarean section was 57.7%. The incidence of puerperal morbidity after caesarean section was 45.6%. Painful incisional site (21%), puerperal febrile morbidity (16%), depression (12.0%) severe anaemia (12%) Urinary tract infection (6.2%) and wound infections (5.8%) were the leading causes of puerperal morbidities. Other morbidities included hypertensive disorders (4.2%), malaria (3.2%) mastitis (2.5%), postpartum haemorrhage (2.1%), and endometritis (1.2%). Conculsion: There was considerable maternal morbidity after caesarean section at the Korle Bu Teaching Hospital. There is a need for improvements in post operative care to reduce puerperal morbidity following caesarean section; adequate post operative pain management would reduce morbidity to a greater extent.
    VL  - 3
    IS  - 4
    ER  - 

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Author Information
  • Dept of Obstetrics &Gynaecology, Achimota Hospital, Accra, Ghana

  • Dept of Obstetrics &Gynaecology, Korle-Bu Teaching Hospital, University of Ghana Medical School, Accra, Ghana

  • Dept of Obstetrics &Gynaecology, Korle-Bu Teaching Hospital, University of Ghana Medical School, Accra, Ghana

  • Dept of Obstetrics &Gynaecology, Tamale Teaching Hospital, University for Development Studies, Tamale, Ghana

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