Evidence map›Paper›PMID 25335372›Full record

ArticleAfrican journal of medicine and medical sciences2014

Anaesthesia for caesarean deliveries and maternal complications in a Nigerian teaching hospital.

A Rukewe, A Fatiregun, K Adebayo

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Article in African journal of medicine and medical sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

A Rukewe
A Fatiregun
K Adebayo

Funding

Medical Education Partnership Initiative in NigeriaR24TW008878 · FIC · COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN · PI ADEWOLE, ISAAC F, OLALEYE, DAVID OLUFEMI · 2010 to 2015
$9.4M
FIC NIH HHS R24 TW008878
6 · The paper itself

Abstract

backgroundThe aim of this audit was to evaluate the frequency of caesarean delivery, anaesthetic techniques employed, investigate potential trends and the rate of maternal complications associated with general or regional anaesthesia in our institution.

methodsWe reviewed data collected on all deliveries from patients' medical records, anaesthetic charts and relevant surgical notes from 1 January 2008 to 31 December 2010.

resultsA total of 10,911 deliveries were conducted during the study period and there were 3389 caesarean sections, giving a rate of 31.1%; which showed an upward trend from 27.8% in the first year to 34% in the third year. Our data showed a predominant use of regional anaesthesia for caesarean section generally (86.2%) and 83.8% for emergency caesarean deliveries in line with global trends. The overall complication rate was 10.5%. However, 34.5% of parturients who had general anaesthesia in contrast with 6.7% who had regional techniques had anaesthesia-related complications, postoperative intensive care unit admission rather than recovery room care, intra-operative cardiac arrest and haemorrhage exceeding 1200 ml (p = 0.001). Haemodynamic fluctuations were the most common anaesthesia-related complication. Our data revealed that general anaesthesia was a significant risk factor for maternal complications.

conclusionObstetric general anaesthesia is low in our hospital. Our result showed that general anaesthesia was a significant risk factor for maternal complications during caesarean section.

Indexed as

Anesthesia, ConductionAnesthesia, GeneralAnesthesia, ObstetricalCardiovascular DiseasesCesarean SectionFemaleHospitals, TeachingHumansIntraoperative ComplicationsMedical AuditNigeriaPostoperative ComplicationsPostoperative HemorrhagePregnancyRisk Factors

Identifiers

PMID25335372

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.