Indicators of post-caesarean complications in the obstetrics and gynecology department of the coyah prefectural hospital, republic of Guinea

Abstract

Introduction: Caesarean section is one of the most common surgical procedures performed in obstetrics.

Objective: To contribute to the improvement of the management of cesarean patients at the Prefectural Hospital of Coyah.

Methods: This was a descriptive and analytical study of 6 Months from July 10, 2017 to January 10, 2018. It focused on women presenting with post-caesarean complications in the Gynaecology-Obstetrics Department of the Coyah Prefectural Hospital.

Results: The prevalence of complications was 17.6%. The average age of the women who presented these complications was 26.63. The age groups most represented were those corresponding to the genital life period, i.e., 24.32% for 25-29 year olds and 22.98% for 20-24 year olds. Most of them were housewives (67.53%), 85% were married and 47.30% were poor. The main indications were third trimester hemorrhage (50.1%), narrowed pelvis (17.3%) and multi-scarred uterus (15.7%). The main complications recorded were parietal suppuration (47.2%), surgical site bleeding (29.1%), and postpartum hemorrhage (10.4%). Management was limited to the use of antibiotics in bi or tritherapy, the use of oxytocics, and iron. The main factors found were: young age, residence in a rural area, being operated on for third trimester hemorrhage, scarred uterus or premature rupture of membranes.

Conclusion: The prevention of these complications requires compliance with infection control measures and staff training.