The rates of caesarean sections have been on the rise despite the risks to the health of the mother and new-born; Besides the medical indications for caesarean section, there are external factors that influence the decision for surgical delivery. The study highlights the factors associated with caesarean sections in a county referral hospital in Nairobi, Kenya and characterizes the obstetric and socio demographic features of the mothers delivering at this hospital.
Samuel Juma: protocol development, data collection, analysis, manuscript writing. Zeinab Gura: protocol development, review, and manuscript writing.
Mohamed Karama- protocol development, analysis, review and manuscript writing. Venny Nyambati- protocol development, review and manuscript writing. Jane Githuku: data analysis, review and manuscript writing. All authors read and agreed to the final manuscript. We acknowledge the administration of Mama Lucy Kibaki hospital for allowing us to conduct the study in their health facility. Special mention also goes out to the study participants who allowed us to share into their experiences.
Table 1 : socio-demographic and obstetric characteristics of study cases and controls attending Mama Lucy Kibaki Hospital, Nairobi, Kenya, Table 2 : bivariate analysis factors associated with mothers delivering at Mama Lucy Kibaki Hospital between January and March Table 3 : factors independently associated with CS at Mama Lucy Kibaki Hospital between January and March Caesarean delivery rates and pregnancy outcomes: the WHO global survey on maternal and perinatal health in Latin America.
Erratum in: Lancet. National cross sectional survey to determine whether the decision to delivery interval is critical in emergency caesarean section. Epub Mar Audit: the strategy to reduce the rising caesarean section rates. Trends in cesarean section rates at a large East African referral hospital from Determinants of caesarean section rates in developed countries: supply, demand and opportunities for control. World Health Report Background Paper , East African Medical Journal. Caesarean section: every woman's right to choose?
Current Opinion in Obstetrics and Gynecology. Caesarean section for non-medical reasons at term. The Cochrane Library. Employment during pregnancy and obstetric intervention without medical reason: labor induction and cesarean delivery. Women's Health Issues. Consumer demand for caesarean sections in Brazil: population based birth cohort study linking ethnographic and epidemiological methods.
British Medical Journal. Indications for and Risks of Elective Cesarean Section. Cesarean delivery in relation to birth weight and gestational glucose tolerance: pathophysiology or practice style? Toronto Trihospital Gestational Diabetes Investigators. Kenya Demographic and Health Survey. Accessed August 29 He is one of Africa's most media-shy leaders, never giving interviews and very rarely addressing the press.
So when Kenyan President Mwai Kibaki called local journalists to State House it was to address that most serious of matters — his own rumoured polygamy.
Local media have frequently suggested that Kibaki, 77, has a second wife, Mary Wambui, who is normally referred to as a "political activist" in the president's party, and a daughter by her called Winnie. While polygamy is not uncommon in Kenya, particularly among the older generation, Kibaki has always denied the claims.
He said that he had "gotten into this foul mood" over the mention on television on Monday by a former politician of his alleged relationship with Wambui, whom he is rumoured to have married under customary law in the Seventies. And we shall deal with him, no other way whatsoever," he said.
0コメント