ABSTRACT
To find out the impact of female genital mutilation [FGM] on the second stage of labour at Omdurman Maternity Hospital [OMH]. A descriptive cross-sectional study, for primigravidae delivered vaginally in 2010. After an informed consent circumcised women, were included as study group and uncircumcised ladies as control group. Data was collected by trained registrars using a structured questionnaire to collect frequency of postpartum haemorrhage [PPH], perineal tear, birth asphyxia, neonatal death and hospital stay. A total of 1961 primigravidae, delivered in 2010 at OMH, 629[32.1%] were circumcised and 1332[67.9%] were uncircumcised. There was no significant difference in the mode of delivery and episiotomy. FGM places women at a greater risk during childbirth, endangering their health and their babies compared to uncircumcised.
Subject(s)
Humans , Female , Labor Stage, Second , Maternal Welfare , Cross-Sectional Studies , Surveys and Questionnaires , Pregnancy Outcome , Obstetric Labor Complications/etiologyABSTRACT
The cesarean section is indicated when vaginal delivery is not safe for the mother or the baby. A descriptive study done in Omdurman maternity hospital-OMH to assess the impact of spinal anesthesia [SA] on cesarean section[C/S], including, intra and post operative maternal complications, neonatal outcome and patients' satisfaction in 2011. Women delivered by C/S under SA were included in the study after an informed consent. All women in the study were operated on by trained registrars or obstetricians, under SA given, either by anesthetist or assistant anesthetist under supervision with similar conditions and were followed till discharge from hospital. Total number of deliveries at OMH in 2011 were 30397, 21677 [71.3%] delivered vaginally, 8720 [28.7%] delivered by C/S, only 24 women [0.3%] delivered under general anaethesia- GA. Women included in the study were 1029, 517 [50.2%] were elective and 512 [49.8%] were emergency C/S. Intra- operatively, 79 women [7.7%] developed hypotension, their BP dropped by more than 30 mmHg, four women developed severe shivering for which they received intravenous 25 mg pethedine, and 44 neonates received oxygen by mask and only one needed endotranchial intubation. Post operatively, only two women had disabling headache, 24 women [2.4%] had episodes of vomiting and 199 [19.3%] had pain in their lower limbs, buttock and thigh, it disappeared completely before discharge. In this study, 880 women [85.5%] were satisfied with SA, while 149 [14.5%] were not satisfied due to pain at the time of puncture, headache, or transient lower limb pain after operation. Spinal anesthesia is increasingly used for C/S in this hospital, with excellent patients' satisfaction, without increase in maternal and neonatal mortality or morbidity