African Health Sciences
Makerere University Medical School
Vol. 20, No. 3, 2020, pp. 1229-1236
Bioline Code: hs20098
Full paper language: English
Document type: Study
Document available free of charge
African Health Sciences, Vol. 20, No. 3, 2020, pp. 1229-1236
© Copyright 2020 - Kassa MW et al.
Type of anaesthesia for caesarean section and failure rate in Princess Marina Hospital, Botswana’s largest referral hospital|
Kassa, Mamo W; Mkubwa, Jack J; Shifa, Jemal Z & Agizew, Tefera B
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.
Caesarean section; types of anaesthesia; spinal failure.