TITLE:
Postoperative Complications and Risk Factors among Women Who Underwent Caesarean Delivery from Northern Tanzania: A Hospital-Based Analytical Cross-Sectional Study
AUTHORS:
Glory Mangi, Pendo Mlay, Olola Oneko, Werner Maokola, Patricia Swai
KEYWORDS:
Caesarean Section, Complications, Risk Factors
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.4,
April
11,
2022
ABSTRACT: Introduction: Caesarean section (CS) causes some complications. We here attempted to
determine the rate of CS complications, characterize their timing, and identify
their risk factors among women delivered at Kilimanjaro Christian Medical Center (KCMC). Methods: Patients who underwent
CS in KCMC were interviewed and analysed. Risk factors were expressed
with Odds ratio (OR) and 95% CI. Results: Of 386 deliveries, 106 (27.5%)
had one or more complications. Common early complications (24 - 72 hours after CS) were puerperal sepsis,
anaesthesia-related complications, blood transfusion and ICU admission. Longer
duration of surgery was significantly associated with all complications (aOR 2.90; 95% CI: 1.02 - 8.50). Grand multiparity was
significantly associated with blood transfusion (7.0; 1.40 - 34.35) and PPH (6.4; 1.5 - 24.24)
while pre-operative anaemia was significantly associated with blood transfusion
(4.34; 1.90 - 9.45). Conclusion: Longer duration of surgery, grand multiparity and pre-operative anaemia are
associated with complications. Physicians should be aware that these are risk
factors for CS-complications.