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Audit of term elective caesarean section outcomes at Tygerberg Academic Hospital
Thesis (MMed)--Stellenbosch University, 2021.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2021
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| _version_ | 1867613794698526720 |
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| access_status_str | Open Access |
| author | De Jager, Kobie |
| author2 | Geerts, Lutgart Therese Gaston Maria |
| author_browse | De Jager, Kobie Geerts, Lutgart Therese Gaston Maria |
| author_facet | Geerts, Lutgart Therese Gaston Maria De Jager, Kobie |
| author_sort | De Jager, Kobie |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2021. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/123927 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:41:46.856Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/123927 Audit of term elective caesarean section outcomes at Tygerberg Academic Hospital De Jager, Kobie Geerts, Lutgart Therese Gaston Maria Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Obstetrics and Gynaecology. Elective caesarean section UCTD Cesarean section -- Emergency Delivery (Obstetrics) Thesis (MMed)--Stellenbosch University, 2021. ENGLISH ABSTRACT: Aim The aim of this study was to determine the proportion of patients intended for elective caesarean section (ELCS) at 39+0 weeks who are converted to emergency caesarean sections (EMCS) or normal vaginal delivery (NVD) and risk factors associated with these. Materials and Methods This retrospective observational study was conducted at Tygerberg Academic Hospital (TAH) which is a secondary and tertiary level hospital. Data was collected for all patients eligible for ELCS at 39+0 weeks with certain gestational age (GA). Data was collected on antenatal, peri- partum and post-partum information on maternal and neonatal outcome. Results Of the 307 patients who were eligible for ELCS at ≥ 39 weeks, 76 (24.8%) went into labour before their planned surgery date, 110 (35.8%) had their surgery postponed, 99 (32.2%) ended their pregnancy with an EMCS and 2 (0.7%) with NVD. There was no significant difference in the mean GA at delivery for patients in labour (39+1, SD 4 days) and patients who did not go into labour (39+1, SD 4 days) (p = 0.4). There was no significant difference in maternal or neonatal outcomes between groups who delivered < 39+0 weeks and 39+0 weeks. Conclusion ELCS theatre list over-run is a common problem in obstetric units and our setting is no exception. Considering there was no significant difference in maternal or neonatal outcome between groups that delivered at < 39+0 weeks and 39+0 weeks we could consider booking ELCS at a marginally earlier gestational age to reduce the rate of conversion to EMCS. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar Masters 2021-12-06T10:04:27Z 2021-12-22T14:29:35Z 2021-12-06T10:04:27Z 2021-12-22T14:29:35Z 2021-12 Thesis http://hdl.handle.net/10019.1/123927 en_ZA Stellenbosch University 66 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Elective caesarean section UCTD Cesarean section -- Emergency Delivery (Obstetrics) De Jager, Kobie Audit of term elective caesarean section outcomes at Tygerberg Academic Hospital |
| title | Audit of term elective caesarean section outcomes at Tygerberg Academic Hospital |
| title_full | Audit of term elective caesarean section outcomes at Tygerberg Academic Hospital |
| title_fullStr | Audit of term elective caesarean section outcomes at Tygerberg Academic Hospital |
| title_full_unstemmed | Audit of term elective caesarean section outcomes at Tygerberg Academic Hospital |
| title_short | Audit of term elective caesarean section outcomes at Tygerberg Academic Hospital |
| title_sort | audit of term elective caesarean section outcomes at tygerberg academic hospital |
| topic | Elective caesarean section UCTD Cesarean section -- Emergency Delivery (Obstetrics) |
| url | http://hdl.handle.net/10019.1/123927 |
| work_keys_str_mv | AT dejagerkobie auditoftermelectivecaesareansectionoutcomesattygerbergacademichospital |