Obstetric complications and cesarean delivery in Nepal

International Journal of Gynecology & Obstetrics - Tập 125 - Trang 33-36 - 2014
Rajendra Karkee1,2, Andy H. Lee2, Vishnu Khanal3, Paras K. Pokharel1, Colin W. Binns2
1School of Public Health and Community Medicine, BP Koirala Institute of Health Sciences, Dharan, Nepal
2School of Public Health, Curtin University, Perth, Australia
3Sanjeevani College of Medical Sciences, Butwal, Nepal

Tóm tắt

AbstractObjectiveTo determine the incidence of obstetric complications, the stillbirth rate, and the factors associated with cesarean delivery in central Nepal.MethodsA community‐based prospective cohort study was undertaken in the Kaski district during 2011–2012. In total, 701 women who were at least 5 months pregnant were recruited and interviewed. Participants were followed‐up and interviewed again within 45 days after delivery.ResultsOf the 658 women who remained in the cohort after 43 were lost to follow‐up, 12 (1.8%) had stillbirths. Cesareans accounted for 13.3% of the total deliveries. Age, urban residency, college‐level education, and particularly presence of intrapartum symptoms significantly increased the likelihood of cesarean delivery. Prepartum, intrapartum, and postpartum symptoms were reported by 21.1%, 24.4%, and 10.2% of women, respectively. Common danger signs included prolonged labor, severe abdominal pain, swollen hand and body, and heavy bleeding.ConclusionObstetric complications and stillbirth rates were relatively high in central Nepal. Cesarean delivery appeared to meet obstetric need and was performed with medical indication, particularly after the onset of labor.

Tài liệu tham khảo

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Thông tin
Thông tin xuất bản

International Journal of Gynecology & Obstetrics

Tập 125

33-36

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