These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Maternal mortality from emergency caesarean section in booked hospital patients at the University of Nigeria Teaching Hospital Enugu.
    Author: Megafu U.
    Journal: Trop J Obstet Gynaecol; 1988; 1(1):29-31. PubMed ID: 12179284.
    Abstract:
    Examination of 34,114 case notes from booked hospital patients during 1979-1984 at the University of Nigeria Teaching Hospital in Enugu revealed 2106 emergency cesarean sections (6.1%) and a maternal mortality rate of 0.8% in these patients. The major cause of death was septicemia followed by liver failure, acute renal failure, hemorrhage, eclampsia, anesthetic accidents, and pulmonary embolism. Antenatal care accounts for lower maternal death rates in booked patients receiving cesarean sections compared to unbooked patients; mortality rate in booked patients was 8.5/1000 and 45/1000 in unbooked patients. Requiring all antenatal patients to give a pint of blood before booking assured available blood during emergency operations. Deaths from anesthesia could be prevented by employing only qualified, experienced specialists. Enforced aseptic techniques during surgery could lower post operative sepsis which in turn could reduce maternal deaths. Emergency cesarean sections were found to be safe. This observation is dependent on patient acceptance of appropriate antenatal care, requiring a donation of blood on booking, enforcing rigid aspetic surgical techniques, providing qualified anesthetists, and promoting good antenatal care.
    [Abstract] [Full Text] [Related] [New Search]