Abstract

Cesarean section (CS) is associated with varying degrees of blood loss and it is accepted that estimating blood loss is notoriously inaccurate and may account for the wide variation of values reported. CS may be carried out electively or on emergency basis with the latter being associated with greater estimated blood loss (EBL). Spinal subarachnoid block and other forms of regional anesthesia are associated with less blood loss at CS. This study was carried out to determine factors associated with blood loss at CS and recommend ways of minimizing such loss and the need for blood transfusion. The case notes of all women who had CS at Ahmadu Bello University Teaching Hospital Zaria between July 1 2002 and June 30 2003 were studied and data obtained were analyzed using MINITAB and SPSS statistical packages. Women in whom partial scar dehiscence or uterine rupture was observed intra-operatively were excluded. (excerpt)

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