Type of anaesthesia for caesarean section and failure rate in Princess Marina Hospital, Botswana's largest referral hospital

Background: Caesarean Section (CS) is a mode of delivery to decrease maternal and perinatal morbidity and mortality. We aimed to determine the type of anaesthesia used for CS among live-birth deliveries; and the failure rate of spinal anaesthesia (SA) in Princess Marina Referral Hospital, Botswana....

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Bibliographic Details
Published in:African health sciences 2020-09, Vol.20 (3), p.1229-1236
Main Authors: Kassa, Mamo W, Mkubwa, Jack J, Shifa, Jemal Z, Agizew, Tefera B
Format: Article
Language:English
Subjects:
Adult
Anesthesia, Obstetrical
Anesthesia, Spinal
Anesthetics - administration & dosage
Botswana
Caesarean section
Cesarean Section - methods
Cesarean Section - statistics & numerical data
Elective Surgical Procedures - statistics & numerical data
Female
Hospitals, Teaching
Humans
Length of Stay
Postoperative Complications
Pregnancy
Pregnancy Outcome
spinal failure
types of anaesthesia
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Summary:Background: Caesarean Section (CS) is a mode of delivery to decrease maternal and perinatal morbidity and mortality. We aimed to determine the type of anaesthesia used for CS among live-birth deliveries; and the failure rate of spinal anaesthesia (SA) in Princess Marina Referral Hospital, Botswana. Methods: Women who underwent CS from May-December 2017 were enrolled in the study. Data were recorded from anaesthesia charts and abstracted using Excel spreadsheet. We established the type of anaesthesia used, comparing the rate of elective versus emergency indications, and failure rate of SA using STATA. Fisher's exact test used to compare results. Results: Among 2775 live-birth deliveries, 30.2% (837/2775) was by CS. Of those, 95.2% (797/837) had had SA and 4.8% (40/837) were GA. Under SA, 27.4% (218/797) were elective, and 72.6% (579/797) were emergency. Under GA 10% (4/40) were elective and 90.0% (36/40) were emergency. The overall failure rate of SA was 2% (16/813), that is 0.9% (2/220) for elective and 2.4% (14/593) among emergency indications; Fisher's exact test p = 0.2959. Conclusion: Our study demonstrated that single shot SA is the most commonly preferred type of anaesthesia for both elective and emergency CS. The overall failure rate of SA was less common in our settings than previously reported.
ISSN:1680-6905
1729-0503
1680-6905
DOI:10.4314/ahs.v20i3.26