Blanc, R.; Kulkarni, Santosh K.; Mullings, Anthony M.; Matadial, Lennox
Author Affiliation, Ana.
Department of Obstetrics, Gynaecology and Child Health
Audit of Caesarean Sections at the University Hospital of the West Indies [Abstract]
West Indian Medical Journal
Date of Publication
52 Suppl. 6
Objectives: To determine the frequency of Caesarean sections (CS) and associated indications and to assess the quality of clinical care associated with CS. Methods: During the study period September 1 to November 30, 2002, all 187 patients delivered by CS completed a close ended questionnaire form within 48 hours of procedure. Conclusions: There has been an increase in the CSR (from 9.5% in 1947) in keeping with international trends which also show an increase in the CSR over the past 30 years. The audit found that (i) failure to progress (ii) presumed fetal compromise and (iii) repeat CS combined to form 70.05% of primary indications for CS. Recommendations are the gastric acid prophylaxis should be administered prior to general and regional anaesthesia in gastric acid prophylaxis and prophylactic antibiotics should continue. There is a need to establish a thromboprophylaxis protocol.....