Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Post caesarean section complications in women infected with COVID-19 disease
Background: The COVID-19 pandemic had a multifaceted impact on maternal health and pregnancy outcomes. This study aimed to determine the impact of the COVID-19 on caesarean section outcomes in pregnant women with COVID-19 infection in South Africa. Objective: To evaluate post-operative outcomes...
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English English |
| Published: |
Department of Obstetrics and Gynaecology
2026
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1869483641389711360 |
|---|---|
| access_status_str | Open Access |
| author | Maboko, Rendani |
| author2 | Matjila, Mushi |
| author_browse | Maboko, Rendani Matjila, Mushi |
| author_facet | Matjila, Mushi Maboko, Rendani |
| author_sort | Maboko, Rendani |
| collection | Thesis |
| description | Background: The COVID-19 pandemic had a multifaceted impact on maternal health and pregnancy outcomes. This study aimed to determine the impact of the COVID-19 on caesarean section outcomes in pregnant women with COVID-19 infection in South Africa.
Objective: To evaluate post-operative outcomes in women who were diagnosed with COVID-19 infection, who underwent a caesarean section delivery while hospitalized in South Africa, during the pandemic.
Methods: A secondary analysis was conducted on data from a multicentre national database by the International Network of Obstetric Survey Systems (INOSS). The dataset included hospitalized pregnant women diagnosed with the COVID-19 disease between 14 April 2020 and 9 December 2021 in South Africa. Statistical analyses were performed to determine the association between mode of delivery, postoperative complications and mortality.
Results: Among 456 women who delivered by caesarean section. Complications were seen in 74 of 456 (16.2%) women. There was a statistically significant association between caesarean delivery and post-operative complications (p = 0.04). Mortality in COVID-19 positive women undergoing caesarean was 6.1%. Elective caesarean sections (9.02%) were associated with a notably higher rate of mortality compared to emergency procedures (2.5%). Notably 71.4% of maternal deaths amongst those who delivered by caesarean section were due to COVID-19 related respiratory complications.
Conclusion: Caesarean section in COVID-19 positive women was associated with increased postoperative complications, especially in the elective cases. Mortality in this cohort was mainly due to respiratory complications. These findings suggest the need for more refined clinical protocols and careful surgical decision-making during pandemics, especially in resource constrained settings. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/43319 |
| institution | University of Cape Town (South Africa) |
| language | English eng |
| last_indexed | 2026-07-01T04:02:13.734Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2026 |
| publishDateRange | 2026 |
| publishDateSort | 2026 |
| publisher | Department of Obstetrics and Gynaecology |
| publisherStr | Department of Obstetrics and Gynaecology |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/43319 Post caesarean section complications in women infected with COVID-19 disease Maboko, Rendani Matjila, Mushi Maswime , Salome Covid-19 disease obstetrics Background: The COVID-19 pandemic had a multifaceted impact on maternal health and pregnancy outcomes. This study aimed to determine the impact of the COVID-19 on caesarean section outcomes in pregnant women with COVID-19 infection in South Africa. Objective: To evaluate post-operative outcomes in women who were diagnosed with COVID-19 infection, who underwent a caesarean section delivery while hospitalized in South Africa, during the pandemic. Methods: A secondary analysis was conducted on data from a multicentre national database by the International Network of Obstetric Survey Systems (INOSS). The dataset included hospitalized pregnant women diagnosed with the COVID-19 disease between 14 April 2020 and 9 December 2021 in South Africa. Statistical analyses were performed to determine the association between mode of delivery, postoperative complications and mortality. Results: Among 456 women who delivered by caesarean section. Complications were seen in 74 of 456 (16.2%) women. There was a statistically significant association between caesarean delivery and post-operative complications (p = 0.04). Mortality in COVID-19 positive women undergoing caesarean was 6.1%. Elective caesarean sections (9.02%) were associated with a notably higher rate of mortality compared to emergency procedures (2.5%). Notably 71.4% of maternal deaths amongst those who delivered by caesarean section were due to COVID-19 related respiratory complications. Conclusion: Caesarean section in COVID-19 positive women was associated with increased postoperative complications, especially in the elective cases. Mortality in this cohort was mainly due to respiratory complications. These findings suggest the need for more refined clinical protocols and careful surgical decision-making during pandemics, especially in resource constrained settings. 2026-06-12T13:54:21Z 2026-06-12T13:54:21Z 2026 2026-06-12T13:28:49Z Thesis / Dissertation Masters MMed http://hdl.handle.net/11427/43319 en eng application/pdf Department of Obstetrics and Gynaecology Faculty of Health Sciences University of Cape Town |
| spellingShingle | Covid-19 disease obstetrics Maboko, Rendani Post caesarean section complications in women infected with COVID-19 disease |
| thesis_degree_str | Master's |
| title | Post caesarean section complications in women infected with COVID-19 disease |
| title_full | Post caesarean section complications in women infected with COVID-19 disease |
| title_fullStr | Post caesarean section complications in women infected with COVID-19 disease |
| title_full_unstemmed | Post caesarean section complications in women infected with COVID-19 disease |
| title_short | Post caesarean section complications in women infected with COVID-19 disease |
| title_sort | post caesarean section complications in women infected with covid 19 disease |
| topic | Covid-19 disease obstetrics |
| url | http://hdl.handle.net/11427/43319 |
| work_keys_str_mv | AT mabokorendani postcaesareansectioncomplicationsinwomeninfectedwithcovid19disease |