Conference abstract
Association between vacuum-assisted birth, breech-assisted birth, vaginal birth after cesarean section, and augmentation of labor on reducing unnecessary cesarean section in Mbeya region
Pan African Medical Journal - Conference Proceedings. 2024:21(47).29
Apr 2024.
doi: 10.11604/pamj-cp.2024.21.47.2377
Archived on: 29 Apr 2024
Contact the corresponding author
Keywords: Cesarean section, vacuum-assisted birth, breech-assisted birth, vaginal birth after cesarean section
Oral presentation
Association between vacuum-assisted birth, breech-assisted birth, vaginal birth after cesarean section, and augmentation of labor on reducing unnecessary cesarean section in Mbeya region
Darama Paschal1,&, Richard Remigius1, Zebrin Malamsha1, Glory Mawole1, Sorter Vitalis1, George Acard1, Abdalah Mmbaga1
1Obstetrics and Gynecology Department, Mbeya Regional Referral Hospital, Mbeya, Tanzania
&Corresponding author
Introduction: at Mbeya Regional Referral Hospital (MRRH), the CS rate stands at approximately 34%, raising concerns regarding maternal mortality and morbidity. Intrapartum interventions such as vacuum-assisted birth (VAB), breech-assisted birth (BAB), vaginal birth after cesarean section (VBAC), and augmentation of labor have been suggested as potential strategies to reduce unnecessary CS rates. Limited data exist on the prevalence and effectiveness of these interventions in reducing CS rates. This study assessed the prevalence of CS and evaluated the association between vacuum-assisted births, breech-assisted birth, vaginal birth after cesarean section, and augmentation of labor in reducing unnecessary cesarean sections at MRRH, Tanzania.
Methods: a cross-sectional analytical hospital-based study was conducted involving 1245 CS performed at MRRH over one year from February 2023 to February 2024. Registered nursing officers/midwives and doctors collected demographic characteristics and maternal and fetal outcomes. Data were analyzed using STATA/SPSS according to predefined objectives.
Results: out of 3350 deliveries, 1887 (63%) were spontaneous vaginal deliveries (SVD), and 1245 (37%) were CS, with 51.24% attributed to previous scars and 48.76% without previous scars. Among all CS cases, 32.4% involved primigravida and 65.6% involved multipara. Intrapartum interventions showed a 12.9% reduction in unnecessary CS, with VBAC, vacuum, and induction/augmentation contributing 50%, 24%, and 26%, respectively. However, no statistically significant differences were observed in breech deliveries.
Conclusion: intrapartum interventions have significantly contributed to reducing unnecessary cesarean sections by over 12.9%, leading to improved maternal and fetal outcomes and a reduction in morbidity and mortality rates. Proper application and monitoring of these interventions can provide cost-effective benefits in terms of human resources, materials, and shorter hospital stays, benefiting pregnant women, healthcare facilities, and the community at large.
Association between vacuum-assisted birth, breech-assisted birth, vaginal birth after cesarean section, and augmentation of labor on reducing unnecessary cesarean section in Mbeya region
Darama Paschal1,&, Richard Remigius1, Zebrin Malamsha1, Glory Mawole1, Sorter Vitalis1, George Acard1, Abdalah Mmbaga1
1Obstetrics and Gynecology Department, Mbeya Regional Referral Hospital, Mbeya, Tanzania
&Corresponding author
Introduction: at Mbeya Regional Referral Hospital (MRRH), the CS rate stands at approximately 34%, raising concerns regarding maternal mortality and morbidity. Intrapartum interventions such as vacuum-assisted birth (VAB), breech-assisted birth (BAB), vaginal birth after cesarean section (VBAC), and augmentation of labor have been suggested as potential strategies to reduce unnecessary CS rates. Limited data exist on the prevalence and effectiveness of these interventions in reducing CS rates. This study assessed the prevalence of CS and evaluated the association between vacuum-assisted births, breech-assisted birth, vaginal birth after cesarean section, and augmentation of labor in reducing unnecessary cesarean sections at MRRH, Tanzania.
Methods: a cross-sectional analytical hospital-based study was conducted involving 1245 CS performed at MRRH over one year from February 2023 to February 2024. Registered nursing officers/midwives and doctors collected demographic characteristics and maternal and fetal outcomes. Data were analyzed using STATA/SPSS according to predefined objectives.
Results: out of 3350 deliveries, 1887 (63%) were spontaneous vaginal deliveries (SVD), and 1245 (37%) were CS, with 51.24% attributed to previous scars and 48.76% without previous scars. Among all CS cases, 32.4% involved primigravida and 65.6% involved multipara. Intrapartum interventions showed a 12.9% reduction in unnecessary CS, with VBAC, vacuum, and induction/augmentation contributing 50%, 24%, and 26%, respectively. However, no statistically significant differences were observed in breech deliveries.
Conclusion: intrapartum interventions have significantly contributed to reducing unnecessary cesarean sections by over 12.9%, leading to improved maternal and fetal outcomes and a reduction in morbidity and mortality rates. Proper application and monitoring of these interventions can provide cost-effective benefits in terms of human resources, materials, and shorter hospital stays, benefiting pregnant women, healthcare facilities, and the community at large.
