ArticleAfrican health sciences2020
Type of anaesthesia for caesarean section and failure rate in Princess Marina Hospital, Botswana's largest referral hospital.
Article in African health sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Contributors to failed spinal anesthesia.The Journal of international medical research · 2026Pooled it
- Prevalence, factors associated, and adverse maternal outcomes of spinal induced hypotension among mothers undergoing caesarean section at a tertiary hospital South-Western Uganda.BMC anesthesiology · 2026Article
- Article
- Prevalence and associated factors of postdural puncture headache in cesarean section patients following spinal anesthesia in a public hospital in Harar, Eastern Ethiopia.PLOS global public health · 2026Article
- Incidence and predictors of failed spinal anesthesia: a systematic review and meta-analysis.Patient safety in surgery · 2025Review
- AUDIT OF OBSTETRIC ANAESTHESIA SERVICES IN A NIGERIAN TERTIARY HOSPITAL.Annals of Ibadan postgraduate medicine · 2025Article
- Regional anaesthesia practice in public hospitals in Botswana: A cross-sectional study.PloS one · 2023Article
- Twenty years ofAfrican health sciences · 2020Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundCaesarean 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.
methodsWomen 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.
resultsAmong 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.
conclusionOur 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.
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