Abstract
Caesarean Section (CS) is a mode of delivery to decrease maternal and perinatal morbidity and mortality. We aimed to determine the type of anaesthesia used for CS among live-birth deliveries; and the failure rate of spinal anaesthesia (SA) in Princess Marina Referral Hospital, Botswana. Women who underwent CS from May-December 2017 were enrolled in the study. Data were recorded from anaesthesia charts and abstracted using Excel spreadsheet. We established the type of anaesthesia used, comparing the rate of elective versus emergency indications, and failure rate of SA using STATA. Fisher's exact test used to compare results. Among 2775 live-birth deliveries, 30.2% (837/2775) was by CS. Of those, 95.2% (797/837) had had SA and 4.8% (40/837) were GA. Under SA, 27.4% (218/797) were elective, and 72.6% (579/797) were emergency. Under GA 10% (4/40) were elective and 90.0% (36/40) were emergency. The overall failure rate of SA was 2% (16/813), that is 0.9% (2/220) for elective and 2.4% (14/593) among emergency indications; Fisher's exact test p = 0.2959. Our study demonstrated that single shot SA is the most commonly preferred type of anaesthesia for both elective and emergency CS. The overall failure rate of SA was less common in our settings than previously reported.
Highlights
Cesarean section (CS) is one mode of delivering a newborn using a surgical intervention mainly meant to decrease maternal and perinatal morbidity and mortality[1,2]
Our study demonstrated that single shot spinal anaesthesia (SA) is the most commonly preferred type of anaesthesia for both elective and emergency Caesarean Section (CS)
This study aimed to determine: (1) The type of anaesthesia used for CS among live-birth deliveries, general or regional, stratified by urgency, elective and emergency, in Princess Marina Hospital (PMH), in Botswana; (2) Failure rate of regional anaesthesia requiring a shift to general anaesthesia
Summary
Cesarean section (CS) is one mode of delivering a newborn using a surgical intervention mainly meant to decrease maternal and perinatal morbidity and mortality[1,2]. 10–13 there is an increased tendency of using CS under regional anaesthesia because of the risk of failed intubation and aspiration of gastric contents that are causes of maternal morbidity and mortality 14. We aimed to determine the type of anaesthesia used for CS among live-birth deliveries; and the failure rate of spinal anaesthesia (SA) in Princess Marina Referral Hospital, Botswana. The overall failure rate of SA was 2% (16/813), that is 0.9% (2/220) for elective and 2.4% (14/593) among emergency indications; Fisher’s exact test p = 0.2959. Conclusion: Our study demonstrated that single shot SA is the most commonly preferred type of anaesthesia for both elective and emergency CS. Type of anaesthesia for caesarean section and failure rate in Princess Marina Hospital, Botswana’s largest referral hospital.
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