Khaw, Kim Sun. / Thesis (M.D.)--Chinese University of Hong Kong, 2013. / Includes bibliographical references (leaves 187-199). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.

Thesis (M.Fam.Med.)--University of the Witwatersrand, Faculty of Health Sciences, 2014. / BACKGROUND: Bertha Gxowa hospital, like other district hospitals in South Africa offers Caesarean section as an essential obstetric service to pregnant women. Caesarean section rates have been increasing worldwide, giving cause for concern because of increased maternal and perinatal morbidity and mortality associated with high Caesarean section rates. This study aims to describe factors associated with high Caesarean section rates in Bertha Gxowa hospital. The researcher hypothesized that associated factors could be identified, and if demographic obstetric and non obstetric factors are described in relation to the context in which the Caesarean sections took place, it should be possible to identify significant modifiable factors. It is hoped that the findings of this study will help to shape local obstetric policy and practice, and lead to improved maternal and perinatal health. METHODS: This study utilized a quantitative cross sectional descriptive design. Patient records were reviewed to obtain information on Caesarean deliveries performed between January and December 2011. Demographic, obstetric and non obstetric factors were described. Pearson’s Chi-square, Fisher’s exact and Student t tests were used as tests of association between independent variables and Caesarean section. A logistic regression model was used to describe risk factors associated with Caesarean section. RESULTS: The results show that increasing parity was associated with Caesarean section (P = 0.004). Eighty six percent of the Caesarean sections were emergency Caesarean sections and 65% were primary Caesarean sections. The commonest obstetric indications were fetal distress, previous Caesarean section, cephalopelvic disproportion, poor progress and malpresentation. Women belonging to Robson classes 1 and 5 had more Caesarean sections than other classes. There was a significant association between Medical Officers and Caesarean section (P=0.001). There was no significant association between patient’s demand, HIV status, Medical Officers’ experience and Caesarean section. CONCLUSION: Obstetric indications contributed more to the high Caesarean sections in Bertha Gxowa hospital than non obstetric factors. The Caesarean section rates may be reduced if obstetric protocols are implemented for certain classes of patients. LEVEL OF EVIDENCE: III

Thesis (M.Med.(Obstetrics and Gynaecology))--University of the Witwatersrand, Faculty of Health Sciences, 2011.

Thesis ( M Med (Family Medicine))--University of Limpopo, 2010. / nformed consent procedures in pregnant women before undergoing caesareaction at Donald Fraser Hospital, Limpopo Province, South Africa Aim: To determine the adequacy of information received by pregnant women before undergoing caesarean section Study Design: Cross – sectional descriptive quantitative study Setting: Donald Fraser Hospital maternity ward Methods: 128 patients where surveyed using a standardized questionnaire 2 – 3 days after caesarean section. The study extended from November 2009 to May 2010. Data was collected by a trained research assistant. The data entered on the questionnaire was entered and frequencies and percentages were analyzed on Stata. Results: 126(98.44%) admitted that they were informed of the reason why a caesarean section had to be performed and 124(98.41) could recall the information provided. 108(84.38%) of participants admitted to being informed about the benefits of having a caesarean section as a mode of delivering their babies, however, only 7(6.48%) participants remembered the information provided. 6(4.69%) and 3(2.34%) of the participants admitted to being informed about complications that may occur during and after caesarean section, respectively; and 33.33% could recall the information provided for both. 50(39.06%) admitted to being informed about the implications of the caesarean section to future pregnancies and 12(24%) could remember the information provided. Majority of participants, 124(96.88%) admitted to being informed about the type of anaesthesia to be administered, however, 89(71.77%) could remember the information provided and 10(7.81%) were informed about the viii possible complications of anaesthesia although only 4(40%) could remember the information provided. The strength of association between participants’ profile and their responses was generally weak, except those with previous caesarean section and their responses to the question that seek to understand if they were informed about the future implications of the caesarean section to future pregnancies. Conclusions: Pregnant women are not informed about the complications or risks associated with caesarean section and anaesthesia to be administered. This makes informed consent procedures to be inadequate.

published_or_final_version / Public Health / Master / Master of Public Health

published_or_final_version / Medical Sciences / Master / Master of Medical Sciences

Thesis (M. P. H.)--University of Hong Kong, 2006. / Also available in print.

Thesis (M.D.)--University of Wisconsin--Madison, 1937. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves [32-34])

Thesis (M.P.H.)--University of Hong Kong, 2008. / Includes bibliographical references (p. 26-29).

Thesis (doctoral)--Ludwig Maximilians-Universität zu München, 1979.