Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients
Amat-Al Karem Ali Hamad Al Huri,
Athmar Hussein Ali,
Abdelrahman Hasan Al Harazi
Issue:
Volume 5, Issue 5, September 2017
Pages:
56-59
Received:
17 July 2017
Accepted:
24 July 2017
Published:
14 August 2017
Abstract: A case – control study was carried out to assess whether carrying out caesarean section without urethral catheterization is safe in terms of intraoperative safety, prevalence of UTI, and the rate of the first voiding discomfort. It was conducted At Al Thawra General Hospital over a period of eight months (From Feb 1st to Sep 30th 2015). One hundred women who admitted to delivery unit and delivered by cesarean section were enrolled in the study. They were divided randomly into study group (non catheterized, n = 50) and control group (catheterized, n = 50). There were no significant differences between the study and control group regarding maternal age, parity and the indications for cesarean section. Of the study group, only one women developed bladder distension at the end of surgery. First voiding discomfort was detected among 86% of the control group vs. 50% of the study cases (P < 0.05). The mean time till ambulation was 8.2 ± 2.1 h for the study group compared to 14.1 ± 2.9 h for the control group (P < 0.001). Urinary tract infection was significantly higher among the control group (28%) vs (8%) of the study cases (P= 0.009). This study showed that nonuse of urinary catheter during cesarean section is associated with significantly low rate of UTI, less first voiding discomfort and early ambulation. Therefore, urinary catheter can be avoided safely in hemodynamecally stable patients.
Abstract: A case – control study was carried out to assess whether carrying out caesarean section without urethral catheterization is safe in terms of intraoperative safety, prevalence of UTI, and the rate of the first voiding discomfort. It was conducted At Al Thawra General Hospital over a period of eight months (From Feb 1st to Sep 30th 2015). One hundred...
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Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland
Projestine Muganyizi,
Edward Maswanya,
Stella Kilima,
Grades Stanley,
Julius Massaga,
Victor Bakengesa
Issue:
Volume 5, Issue 5, September 2017
Pages:
60-68
Received:
31 July 2017
Accepted:
15 August 2017
Published:
6 September 2017
Abstract: Tanzania’s Primary Health Services Development Program (PHSDP) started in 2007 with the aim to establish and staff an additional 5162 dispensaries, 2074 health centres and 8 district hospitals by 2017 which would implicitly increase obstetric care facility density. However, currently obstetric care facility density is not a standard Emergency Obstetric and Neonatal Care (EmONC) indicator and data on its correlation with the standard EmONC indicators is scanty. In 2015 a cross-sectional survey of all hospitals, health centres and a random sample of dispensaries providing delivery services in all the 25 regions of Tanzania Mainland was conducted whereby the presence of EmONC functions in past 3 months was assessed using a standard tool. Where necessary, population data were based on the 2012 National housing and population Census and the 2010 Tanzania Demographic Health Survey (TDHS). Data were analyzed using IBM SPSS version 20 and STATA. Spatial Mapping was done using a calibrated Geographic Positioning System (GPS) Essential Software for Android and coordinates represented on digitalized map with Arc Geographic Information System (GIS). Ethical approval was granted by the Ethical Clearance Committee of Medical Research Council [MRCC], National Institute for Medical research. Of the confirmed 5207 obstetric care facilities 2405 (46.2%) were surveyed including 35.3% of all dispensaries. National Obstetric care facility density was 68/ 500,000 population, 7/500,000 of them provided all the 7 Basic Emergency Obstretic and Neonatal Care (BEmONC) functions in past 3 months. Among all the regions, 40% had attained or exceeded the international benchmark for EmONC facilities per 500,000 population. Institutional delivery rate was 79% and overall Caesarean Section rate was 5.6%. Improved obstetric care facility density was strongly correlated with improved institutional delivery; Caesarean section rate and met need for EmONC but not the quality of case management. In conclusion obstetric care facility density is well correlated with other standard EmONC indicators.
Abstract: Tanzania’s Primary Health Services Development Program (PHSDP) started in 2007 with the aim to establish and staff an additional 5162 dispensaries, 2074 health centres and 8 district hospitals by 2017 which would implicitly increase obstetric care facility density. However, currently obstetric care facility density is not a standard Emergency Obste...
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