当前位置： SCI文献检索 > ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA期刊下所有文献 > Disclosing doubtful indications for emergency cesarean sections in rural hospitals in Tanzania: a retrospective criterion-based audit.

Disclosing doubtful indications for emergency cesarean sections in rural hospitals in Tanzania: a retrospective criterion-based audit.

Abstract：

OBJECTIVE:To investigate in depth to what extent indications for emergency cesarean sections followed evidence-based audit criteria for realistic best practice. DESIGN:A quality assurance analysis based on a retrospective criterion-based audit. SETTING:Two rural hospitals in Tanzania. POPULATION:From 2009, 400 cesarean section instances were investigated. Of these, 303 were emergency cesarean sections and therefore included. METHODS:Documented indications for and management preceding the emergency cesarean sections were compared with the audit criteria. MAIN OUTCOME MEASURES:Prevalence of suboptimal care. RESULTS:Of the emergency sections, 26% appeared to be decided based on inappropriate indications, and in an additional 38%, the indications were unclear. Prolonged labor was the leading indication; in 36% of these, labor progressed timely and/or the membranes were still intact. In 26%, previous cesarean section was the indication, half of these with one previous section only. Fetal distress was an indication in 14%, but for 84% of these the fetal heart rate was either reassuring or not documented. For nine women, section was decided upon because of intrauterine fetal death; none had a trial of forceps/vacuum extraction or destructive surgery. CONCLUSION:A considerable number of the audited emergency cesarean sections were performed on doubtful indications. In the light of the rising trend in global cesarean section rates, there seems to be a need to ensure quality of management preceding cesarean sections. This is particularly called for in rural sub-Saharan Africa where cesarean rates are still low and health risks of emergency surgery not negligible.

journal_name

Acta Obstet Gynecol Scand

journal_title

Acta obstetricia et gynecologica Scandinavica

authors

Maaløe N,Bygbjerg IC,Onesmo R,Secher NJ,Sorensen BL

doi

10.1111/j.1600-0412.2012.01474.x

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

1069-76

issue

9

eissn

0001-6349

issn

1600-0412

journal_volume

91

pub_type

杂志文章

相关文献

ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA文献大全
  • The relation of psychological distress to salivary and serum cortisol levels in pregnant women shortly after the diagnosis of a structural fetal anomaly.

    abstract：OBJECTIVE: To examine the association between psychological distress and levels of salivary cortisol (SalC) and the ratio of serum cortisol to cortisol-binding globulin (SC/CBG) in pregnant women shortly after the diagnosis of a structural fetal anomaly. DESIGN. A prospective, observational study.  SETTING: Tertiary r...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1600-0412.2011.01266.x

    authors： Kaasen A,Helbig A,Malt UF,Godang K,Bollerslev J,Naes T,Haugen G

    更新日期：2012-01-01 00:00:00

  • The plasma concentration of medroxyprogesterone acetate and ovarian function during treatment with medroxyprogesterone acetate in 5 and 10 mg doses.

    abstract：:Peripheral plasma levels of medroxyprogesterone acetate (MPA) were determined by radioimmunoassay in 5 women after oral administration of 5 and 10 mg medroxyprogesterone acetate daily. Peak levels of MPA in plasma were recorded within 1 - 3 hours of taking the tablet, which indicates a rapid absorption from the gastro...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016348409154654

    authors： Wikström A,Green B,Johansson ED

    更新日期：1984-01-01 00:00:00

  • The relationship between carbohydrate intake and glucose tolerance in pregnant women.

    abstract：OBJECTIVE:We verified whether a misdiagnosis of gestational diabetes mellitus can result in pregnant women when glucose tolerance has deteriorated after a low-carbohydrate meal, and tried to elucidate the mechanism behind the different outcome of the test. STUDY DESIGN:Twenty-seven pregnant women were given directions...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.1046/j.1600-0412.2003.00187.x

    authors： Takizawa M,Kaneko T,Kohno K,Fukada Y,Hoshi K

    更新日期：2003-12-01 00:00:00

  • Menopausal hot flushes do not associate with changes in heart rate variability in controlled testing: a randomized trial on hormone therapy.

    abstract：OBJECTIVE:To compare in controlled cardiovascular autonomic function tests the effects of hormone therapy (HT) on heart rate variability (HRV) responses in postmenopausal women with and without pretreatment hot flushes. DESIGN:A randomized placebo-controlled trial. SETTING:Finland, Helsinki University Central Hospita...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/aogs.12164

    authors： Hautamäki H,Mikkola TS,Sovijärvi AR,Piirilä P,Haapalahti P

    更新日期：2013-08-01 00:00:00

  • Hypertensive disorders in pregnancy and later dementia: a Swedish National Register Study.

    abstract：INTRODUCTION:Our aim was to investigate the rate of vascular dementia and dementia in women with previous hypertensive disorders in pregnancy, since white matter lesions of the brain and cardiovascular disease are linked both to dementia and hypertensive disorders in pregnancy. MATERIAL AND METHODS:Prospective populat...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/aogs.13096

    authors： Andolf EG,Sydsjö GC,Bladh MK,Berg G,Sharma S

    更新日期：2017-04-01 00:00:00

  • Normoprolactinemic galactorrhea in a fertile woman with a copper intra-uterine device (copper IUD).

    abstract：:We report a case of galactorrhea in a normoprolactinemic fertile woman (30 years old) wearing a copper intra-uterine device (Gravigard). The Gravigard was first inserted in July 1977. In February 1979 our patient noted spontaneous galactorrhea, mainly on the left, but it was also present on the right, after breast pre...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016348409156269

    authors： Giampietro O,Ramacciotti C,Moggi G

    更新日期：1984-01-01 00:00:00

  • Continuous epidural anaesthesia with a low frequency of instrumental deliveries.

    abstract：:The results of 204 cases of regional analgesia by means of continuous epidural block during labour and delivery are reported. The frequency of instrummental intervention using forceps or the vacuum extractor is low, less than 15% for primi- and multi-gravidas combined, although pathological conditions were recognized ...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016347509157101

    authors： Maltau JM,Andersen HT

    更新日期：1975-01-01 00:00:00

  • Ectopic pregnancy revisited in Benin City, Nigeria: analysis of 152 cases.

    abstract：BACKGROUND:Ectopic pregnancy is still a major health problem among women of childbearing age in our community. The majority of the patients with ectopic pregnancy are nulliparous in their mid twenties, with previous induced abortion(s) and or pelvic inflammatory disease. It remains a major challenge to the reproductive...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.1034/j.1600-0412.2002.811207.x

    authors： Gharoro EP,Igbafe AA

    更新日期：2002-12-01 00:00:00

  • Evaluation of new serum and urine tests in cases of suspected pathologic early pregnancy.

    abstract：:Two pregnancy tests, ModEL serum hCG Assay and ModEL Urine hCG Assay, were evaluated using sera and urine from 46 patients suspected of pathologic early pregnancy, of whom 22 patients had spontaneous abortion and 9 an ectopic pregnancy. ModEL Serum hCG Assay had a 100% sensitivity and specificity, thus demonstrating i...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016348609157386

    authors： Steier JA,Myking OL

    更新日期：1986-01-01 00:00:00

  • The performance of a simple scoring system screening for low birthweight infants for gestation in an unselected pregnant population.

    abstract：:Identification of poor fetal growth is an important objective of antenatal care. We evaluated the validity of the Wennergren score to predict small for gestational age and/or underweight for length infants (low ponderal index). To 405 randomly chosen pregnant women from our university hospital population, this numeric...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016348909006141

    authors： Sijmons EA,Vervest HA,Kerkhof M,Reuwer PJ,Bruinse HW

    更新日期：1989-01-01 00:00:00

  • Successful quadruplet pregnancy following ovulation induced with human menopausal gonadotropin and human chorionic gonadotropin.

    abstract：:A case report of a quadruplet pregnancy that followed the induction of ovulation by human chorionic gonadotropin and human menopausal gonadotropin is presented. Examination revealed 4 separate placentas, indicating development from 4 different ova. The infants all did well at term, with no signs of respiratory distr...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016347409157759

    authors： Lauersen NH,Buchman M,Beling CG

    更新日期：1974-01-01 00:00:00

  • Differential expression of T-helper cytokines in the peritoneal fluid of women with normal ovarian cycle compared with women with chronic anovulation.

    abstract：BACKGROUND:Estrogen and progesterone immunoregulate the genital environment by expression of cytokines and growth factors. OBJECTIVE:To investigate the pattern of expression of T-helper cytokines during the ovarian cycle compared with women with chronic anovulation resistant to clomiphene citrate. HYPOTHESIS:Expressi...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.1034/j.1600-0412.2003.00045.x

    authors： Omu AE,Al-Azemi MK,Makhseed M,Al-Oattan F,Ismail AA,Al-Tahir S,Al-Busiri N

    更新日期：2003-07-01 00:00:00

  • Hysteroscopy is superior to hysterosalpingography in infertility investigation.

    abstract：BACKGROUND:The development of advanced endoscopic instrumentation in recent years has demonstrated the superiority of direct visual examination over radiographic demonstration of various body cavities. Just as laparoscopy has gradually taken a primary role in the surgical investigation of the ovulatory infertile patien...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016349609054692

    authors： Golan A,Eilat E,Ron-El R,Herman A,Soffer Y,Bukovsky I

    更新日期：1996-08-01 00:00:00

  • An incident of bilateral mastodynia after the menopause.

    abstract：:A 54-year-old postmenopausal woman is described who quite suddenly experienced intense tenderness and tension in both breasts lasting for about 3 weeks. Subsequently she had a uterine bleeding. Excessively increased levels of estradiol (peak value 2325 pmol/l) were found during the period of mastodynia. Seven months p...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016348509156738

    authors： Kallner G

    更新日期：1985-01-01 00:00:00

  • Influence of operations for stress incontinence and/or genital descensus on sexual life.

    abstract：:A variety of operations for stress incontinence or genital descensus are performed in gynecological department. The purpose of this study was to find out whether these operations influenced the patients' sexual life. In a prospective study of 55 women, all sexually active prior to the operation, various characteristic...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016348809004283

    authors： Haase P,Skibsted L

    更新日期：1988-01-01 00:00:00

  • Fetal ponderal index as an instrument for further classification of intra-uterine growth retardation.

    abstract：:Perinatal morbidity and mortality are still high in cases of intra-uterine growth retardation. Present screening methods select large risk groups and have a low positive predictive value. Instruments which could be used as indicators for those cases within the risk group needing close fetal monitoring would be valuabl...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016349209009916

    authors： Vilbergsson G,Wennergren M

    更新日期：1992-04-01 00:00:00

  • Quality of life in relation to TVT procedure for the treatment of stress urinary incontinence.

    abstract：BACKGROUND:The aim of the study was to assess the impact of tension-free vaginal tape (TVT) procedure as anti-incontinence surgery on patients' urinary symptoms and quality of life. METHODS:Ninety-eight patients participated in the study. All patients were operated for urodynamic stress incontinence with the TVT proce...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.1080/00016340600603759

    authors： Bakas P,Liapis A,Giner M,Creatsas G

    更新日期：2006-01-01 00:00:00

  • Effects of thyroxine therapy on bone metabolism in postmenopausal women with hypothyroidism.

    abstract：OBJECTIVE:To evaluate whether thyroid stimulating hormone-suppressive thyroxine replacement therapy increases bone loss in postmenopausal women. MATERIALS AND METHOD:The study had a cross-sectional design. Fifty-four postmenopausal women on long-term treatment with thyroxine for primary hypothyroidism, who showed supp...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016349609054714

    authors： Affinito P,Sorrentino C,Farace MJ,di Carlo C,Moccia G,Canciello P,Palomba S,Nappi C

    更新日期：1996-10-01 00:00:00

  • Cellular therapies for the endometrium: An update.

    abstract：:An update on the current state of endometrial cell therapies in terms of cell types, mechanisms of action, delivery, safety, regulatory frameworks and future perspectives. This review focuses on clinical trials using angiogenesis-promoting therapies and stromal therapies piloted in the last 10 years for alleviating As...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章,评审

    doi：10.1111/aogs.13598

    authors： Queckbörner S,Davies LC,von Grothusen C,Santamaria X,Simón C,Gemzell-Danielsson K

    更新日期：2019-05-01 00:00:00

  • Strengthening prevention programs to eliminate cervical cancer in the Nordic countries.

    abstract：:Disease trend studies based on birth cohort analysis and serological studies indicate that recent generations have a higher prevalence of oncogenic Human Papilloma Virus (HPV) types, and are likely to be at higher risk of cancer than previous generations. This implies that prevention strategies to protect young popula...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章,评审

    doi：10.1080/00016340801986771

    authors： Dillner L,Pagliusi S,Bray F,Lorincz A,Kjaer SK,Anttila A,Iversen OE,Dillner J,Lehtinen M,Paavonen J

    更新日期：2008-01-01 00:00:00

  • Increased acceptance of HRT and improved level of information: a change in Norwegian women's opinion from 1990 to 1997.

    abstract：AIM:To investigate the development in women's attitude to hormone replacement therapy, and the change in views concerning positive and negative effects. METHODS:National cohort study based on telephone interviews in 1990 and 1997, of women randomly sampled from the Norwegian telephone book (n=1019 and 1003). The same ...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：

    authors： Backe B,Hunskaar S

    更新日期：2001-07-01 00:00:00

  • Quality assured ultrasound simulator training for the detection of fetal malformations.

    abstract：OBJECTIVE:Sonographic training in obstetrics differs broadly in Germany, although there are clearly defined quality-oriented requirements. In order to improve professional education, a training concept was devised utilizing an ultrasound simulator system. DESIGN:Between October 2004 and May 2006, 100 obstetric ultraso...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016340903280941

    authors： Staboulidou I,Wüstemann M,Vaske B,Elsässer M,Hillemanns P,Scharf A

    更新日期：2010-03-01 00:00:00

  • Iron prophylaxis in menorrhagia.

    abstract：:Heavy menstrual bleedings frequently lead to iron deficiency. Iron supplementation is usually given to cover the increased losses. In the present study one tablet containing 100 mg of iron (Duroferon R, Durules R) was given daily for 10 days in connection with the menstrual period in 15 women with menorrhagia. The tab...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：

    authors： Arvidsson B,Ekenved G,Rybo G,Sölvell L

    更新日期：1981-01-01 00:00:00

  • Interest in alternative birth settings in Finland.

    abstract：BACKGROUND:The aim of this study was to examine the extent of wishes for and realised choices of alternative and conventional birth care in Finland based on survey and registry data. METHODS:A population-based national survey to 3000 women of reproductive age and 400 men aged 18-24 and 40-44 in Finland and a cross-sec...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：

    authors： Viisainen K,Gissler M,Räikkönen O,Perälä ML,Hemminki E

    更新日期：1998-08-01 00:00:00

  • Comparative assay of HCG, HCT and HCS in molar pregnancy.

    abstract：:The secretion patterns of human chorionic gonadotropin (HCG), human chorionic somatomammotropin (HCS), and human chorionic thyrotropin (HCT) were studied in 10 women with hydatidiform mole and 30 women in the early stage of normal pregnancy. Serum levels of the chorionic hormones were determined by radioimmunoassay w...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016347409157754

    authors： Tojo S,Mochizuki M,Kanazawa S

    更新日期：1974-01-01 00:00:00

  • Phytoestrogens increase the capacity of serum to stimulate prostacyclin release in human endothelial cells.

    abstract：BACKGROUND:Both the estrogen receptor (ER) alpha and beta isoforms are expressed in the endothelium. The ER beta has been assigned a crucial role in normal vascular wall function. Prostacyclin has been ascribed a beneficial effect on vessel wall physiology. Isoflavones bind with higher affinity to ER beta. We investiga...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 临床试验,杂志文章

    doi：10.1080/j.1600-0412.2003.00178.x

    authors： García-Martínez MC,Hermenegildo C,Tarín JJ,Cano A

    更新日期：2003-08-01 00:00:00

  • Use of hormone replacement therapy among Danish nurses in 1993.

    abstract：BACKGROUND:To describe the prevalence of women using systemic hormone replacement therapy in various age groups. To identify their reasons for choosing or not choosing the therapy, reasons for discontinuing the treatment, the prevalence of side effects among current users, and to estimate the duration of treatment. ME...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：

    authors： Hundrup YA,Obel EB,Rasmussen NK,Philip J

    更新日期：2000-03-01 00:00:00

  • Preferences for involvement in treatment decision-making among Norwegian women with urinary incontinence.

    abstract：BACKGROUND:Current health policies advocate patient participation in treatment decision-making. Objective. To explore whether role preferences among women with urinary incontinence (UI) change depending on the treatment decision-making context. We also explore what factors are associated with role preferences and chang...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.1080/00016340701622310

    authors： O'Donnell M,Hunskaar S

    更新日期：2007-01-01 00:00:00

  • A study on the effect of dehydroepiandrosterone sulfate on so-called cervical ripening.

    abstract：:Dehydroepiandrosterone sulfate (DHAS) is now used for a dynamic test of placental function by many obstetricians. While practicing this test, the authors found that DHAS markedly promoted so-called "cervical ripening". To study this problem, DHAS of 50 or 100 mg in multiple doses were injected into 132 Japanese pregna...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 杂志文章

    doi：10.3109/00016347809156518

    authors： Mochizuki M,Honda T,Deguchi M,Morikawa H,Tojo S

    更新日期：1978-01-01 00:00:00

  • A comparison of three dosages of prostaglandin E2 pessaries for ripening the unfavourable cervix prior to induction of labor.

    abstract：:A study was planned to evaluate the effect of Prostaglandin E2 pessaries in three different dosages in ripening the unfavourable cervix prior to the induction of labor. A single dose of PGE2 as pessary in the three different dosages was administered into the posterior vaginal fornix to ripen an unfavourable cervix wit...

    journal_title：Acta obstetricia et gynecologica Scandinavica

    pub_type： 临床试验,杂志文章

    doi：10.3109/00016348409156268

    authors： Varma TR,Norman J

    更新日期：1984-01-01 00:00:00