Assessment of discharge after 24 hours following elective caesarean section in Omdurman Maternity Hospital, Sudan, 2010

Abstract

Objective: to assess patient satisfaction and morbidity associated with 24 hours hospital stay after elective caesarean section.
Methodology: A descriptive study done in Omdurman maternity hospital (OMH) in 2010. All women admitted for elective C/S were counselled for discharge after 24 hours from C/S. Those with medical or obstetrical problems necessitating admission for longer time were excluded.
Women who refused to be discharged were included as control after an informed consent. All women were operated on by trained registrars or consultants under similar conditions & were followed till discharge from hospital.
Results: The total number of deliveries in OMH during 2010 was 28975. Out of them 21022(72.6%) had spontaneous vaginal delivery and 7953 (27.4%) delivered by caesarean section. Elective C/S comprised 3204(11.1%) while emergency C/S 4749(16.4%). The study included
1439.716(49.8%) as study group and 723(50.2%) as control. Readmission was needed for 41(2.8%), 15(1.1%) from study group and 26(1.8%) from control group. The reason in 24(1,7%) was wound infection, 5(0.3%) DVT, two with endometritis and eight (0.6%) due to non- pregnancy
related infection. Although, there is slight increase in rate of readmission due to wound infection and DVT in control group, there is no significant statistical difference between the two groups. However there is significant statistical difference in the rate of satisfaction between the two groups
In the study group, 613(85.6%) ladies were satisfied with the short hospital stay compared to 269(37.2%) in the control group who were satisfied with longer hospital stay after elective C/S (P = 0.0001).
Conclusion: Short hospital stay after elective C/S was associated with more patients’ satisfaction, without increase in maternal mortality or morbidity, compared to control.

Key words:endometritis, vaginal delivery,maternal mortality.