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Short Stay in Maternity after Delivery by Caesarean Section: Pilot Study Carried Out at The Maternity Hospital of theOwendo University Hospital (Gabon)
2017
1. Abstract 1.1. Objective: To evaluate morbidity early discharge after uncomplicated
caesarean section. 1.2. Patients and Methods:
Prospective
observational study conducted at the maternity of the Owendo UH
from 1 March to 31 December 2016 either. All cases of
uncomplicated caesarean section and having accepted this protocol
were included. Informed information was provided to each patient on the
type of anesthesia, analgesia, early feeding modalities and
mobilization. We studied the frequency of Caesarean section, its
indications, the surgical technique and the morbidity associated with early
discharge. 1.3. Results: 142 parturients were enrolled. Of these,
33.81% of Caesarean sections were programmed versus 66.19%. Spinal
anesthesia was the most common type of anesthesia of 93%. The indications
for Caesarean sections were the following, mandatory Caesarean sections 35.2%,
Caesarean sections necessary 36.6%, and Caesarean sections of precautions
28.2%. The return of the transit was effective in the first 24 hours in
52.8% parturientes and 132 (92.9%) had a total mobility. The exit was
systematic at D3 except complication. On the fifth day, 99.30% had a
physical autonomy. We observed return in hospital for an abscess of walls. 1.4. Conclusion: The practice of simple measures of postoperative
rehabilitation allows a resumption of physical autonomy and allow early
discharge from hospital. Pre-established protocols and informed
information could change our practices. 2. Keywords: Analgesia; Cesarean; Early Exit; Mobility; Rehabilitation
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