Appropriateness, timeliness and perinatal outcomes of obstetric referrals managed by caesarean section: A prospective observational cohort study

Autor: Yuda Munyaw, Robert Moshiro, Matilda Ngarina, Godfrey Guga, Hege Ersdal, Jorgen Linde
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Reproductive, Female and Child Health, Vol 3, Iss 2, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2768-7228
88288099
DOI: 10.1002/rfc2.79
Popis: Abstract Objective To evaluate the appropriateness, timeliness and perinatal outcomes of obstetric referrals compared to nonreferrals managed by caesarean section (CS) at a tertiary hospital. Methods Research assistants observed and recorded every delivery prospectively. Neonates were followed to discharge or up to 7 days, and outcomes were recorded. Proportions were used to describe baseline characteristics of the groups, and logistic regression was used to determine factors associated with CS in the referral group. Results A total of 10 353 deliveries occurred during the study period: 7.4% (768) were referrals and 92.6% (9585) were nonreferrals. The proportion of CS among referrals was 41.5% (319), nonreferrals 22.5% (2152) and overall 23.8% (2471). Compared to nonreferrals, referred women arrived at the second stage of labour with complications, ending up with emergency CS (p
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