Caesarean section and birth weight at Korle Bu Teaching Hospital--preliminary report

West Afr J Med. 2002 Jul-Sep;21(3):212-4. doi: 10.4314/wajm.v21i3.28032.

Abstract

Objective: This preliminary retrospective survey was done to find out whether the indications for Caesarean Section had any bearing on the birth weight.

Method: The foetal outcome for 673 parturients who delivered at the Korle Bu Teaching Hospital between September 1, 1998 and December 31, 1998 was analysed.

Result: Caesarean section done for cephalopelvic disproportion and for 2 or more previous sections yielded the highest mean birth weight (3.43 kg +/- 0.02 kg) and the best foetal outcome. Hypertensive disorders yielded the lowest mean birth weight (1.8 kg +/- 0.3 kg) and poorest foetal outcome. The mean parity and age of the parturients were similarly distributed.

Conclusion: The birth weights appeared to vary with the indications for Caesarean section. Confounding factors such as the gestational age, parity and age of the parturients need to be controlled in a prospective study in future. Good antenatal supervision could improve on the birth weights.

MeSH terms

  • Abruptio Placentae / surgery
  • Birth Weight*
  • Breech Presentation
  • Cesarean Section / statistics & numerical data*
  • Eclampsia / surgery
  • Female
  • Fetal Death / epidemiology
  • Fetal Death / etiology
  • Fetal Distress / surgery
  • Gestational Age
  • Ghana / epidemiology
  • Hospitals, Teaching / statistics & numerical data*
  • Humans
  • Infant, Newborn
  • Male
  • Maternal Age
  • Obstetric Labor Complications / surgery
  • Parity
  • Patient Selection*
  • Pregnancy
  • Pregnancy Outcome / epidemiology*
  • Prolapse
  • Retrospective Studies
  • Risk Factors
  • Umbilical Cord