Caesarean section among referred and self-referred birthing women: a cohort study from a tertiary hospital, northeastern Tanzania

Table 4 Main admission diagnosis recorded among 6,161 Caesarean births, KCMC, Tz

Diagnosis	Referred (N = 2,203)		Self-referred (N = 3,958)
	N	%	N	%
1 previous scar +/- other obstetric diagnosis	430	19.5	469	11.8
2 previous scars +/- other obstetric diagnosis	222	10.1	186	4.7
3+ previous scars +/- other obstetric diagnosis	47	2.1	29	0.7
Abruptio	33	1.5	23	0.6
Anaemia/haematologic disorder	24	1.1	2	0.1
Ante partum haemorrhage	47	2.1	18	0.5
Bad obstetric history	29	1.3	23	0.6
Breech	52	2.4	70	1.8
Cephalo-pelvic disproportion	202	9.2	78	2.0
Eclampsia	53	2.4	27	0.7
Failure of trial of scar/induction	14	0.6	57	1.4
Foetal distress	123	5.6	155	3.9
Hypertension	31	1.4	20	0.5
Malpresentation/prolapse arm/cord	119	5.4	60	1.5
Multiple pregnancy	29	1.3	24	0.6
Obstructed labour	236	10.7	175	4.4
Placenta previa	36	1.6	23	0.6
Poor progress/prolonged labour	192	8.7	165	4.2
Post term	7	0.3	17	0.4
Preeclampsia	74	3.4	28	0.7
Preterm rupture membranes/preterm labour	30	1.4	42	1.1
Uterine rupture	8	0.4	6	0.2
Expected vaginal delivery	6	0.3	282	7.1
No diagnosis	121	5.5	1953	49.3
Other †	38	1.7	26	0.7
Total	2,203	100	3,958	100

†'Other' included maternal risk factor, diabetes, heart disease, cardiac arrest, HAART, PPH, chorio chorioamnionitis, IUFD, vaginal warts, malformation baby, repaired fistula, diarrhoea, pelvic mass, IUGR, cervix cancer, difficult labour, mental disease, physical handicap, fracture.

ISSN: 1471-2393