Czech Hospital in Uganda and quality of obstetric care

• Published in: Ceská gynekologie Vol. 81; no. 2; p. 155
• Main Authors: Donát, J, Brejchová, E
• Format: Journal Article
• Language: Czech
• Published: Czech Republic 01-04-2016
• Subjects: Adult; Cesarean Section - mortality; Cesarean Section - standards; Clinical Competence - standards; Cross-Cultural Comparison; Czech Republic; Developing Countries; Extraction, Obstetrical - mortality; Extraction, Obstetrical - standards; Female; Hospital Mortality; Humans; Maternal Mortality; Medical Staff, Hospital - standards; Obstetrics - standards; Pregnancy; Quality of Health Care - standards; Uganda; Uganda; equipment; lacks; obstetric care; specialists; transport; Czech Hospital; caesarean section
• ISSN: 1210-7832

The target was to evaluate the present state of obstetric care in Czech Hospital in Buikwe in Uganda. We evaluated a professional level of hospital physicians, their obstetric expertise and technical equipment of delivery theatre and mobile surgery and we provided a short 4 months evaluation of deliveries in main view of obstetric pathologies, frequency of caesarean sections and maternal mortality.
In period from October 2014 to January 2015 there was evaluated a group of 374 women, admited to labour at delivery theatre. We evaluated parity of women, number and indications of caesarean sections, age of women and obstetric finding by admission. The most of our patients were primiparas and secundiparas, the caesarean section was performed in 23,8% of cases and the most frequent indication of it was threatened rupture of the uterus, state after caesarean section, cephalopelvic disproportion and obstructed labour. Two women died. By evaluation of quality of obstetric care we have found some serious lacks. Ugandan doctors are not obstetricians, they have no experience with vaginal obstetric operations, the Hospital has no fetal-monitor and no possibility for a transport of emergency cases.
The Hospital needs expert help from Czech Republic, as doctors-obstetricians so as some equipment for delivery theatre and above all suitable car for urgent transport and for use of mobile surgery.