Publications

This research aimed to analyze the patterns and consequences of Cesarean sections (Csections)performed at Jinja Regional Referral Hospital. Conducted retrospectively, the studyfocused on pregnant women who underwent C-sections instead of vaginal delivery betweenJanuary 1st and June 30th, 2019. The investigation excluded cases of normal vaginaldeliveries and used a systematic random sampling method to select 288 participants forreview. Data from patient files was collected, assessed using a checklist, and analyzed usingStata version 14. Results were presented using frequency tables, percentages, pie charts, andbar graphs. The study found a C-section prevalence of 30%, surpassing the WHOrecommended15% rate for developing nations. The primary reasons for C-sections werecephalopelvic disproportion, repeat C-section, fetal distress, and breech presentation.Overall, 72.22% of cases had positive outcomes. Poor outcomes were predominantly fetal,including low Apgar scores (<7), low birth weight, neonatal death, NICU admission, andasphyxia, accounting for over 90% of negative outcomes. Maternal outcomes were mostlypositive, with poor results including maternal sepsis, maternal death, postpartumhemorrhage, and burst abdomen. In summary, the study highlighted a high rate of C-sectionsand identified specific indications for the procedure. Poor fetal outcomes were oftenassociated with low birth weight, while poor maternal outcomes were primarily linked topostpartum hemorrhage and maternal sepsis.Keywords: C-section, Vaginal delivery, Perinatal, Fetal distress, Breech presentation