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NIGER DELTA JOURNAL OF MEDICINE & MEDICAL RESEARCH

A Publication Of Nigeria Medical Association Bayelsa State Branch

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Archive | ISSUE: , Volume: Jul-Sep-2025

ARE PATIENTS MORE SATISFIED WITH THE SHORT STAY THAN THE TRADITIONAL PROTOCOL FOLLOWING UNCOMPLICATED CAESAREAN DELIVERY? A CLINICAL TRIAL IN THE LAGOS UNIVERSITY TEACHING HOSPITAL (LUTH), NIGERIA


Author:Oyeyemi N, Afolabi BB, Oyeneyin OL, Oyeyemi AS

published date:2025-Aug-24

FULL TEXT in - | page 113 – 119

Abstract

Background: Presently worldwide, caesarean delivery is one of the most common operations undertaken, and has been quite safe There is therefore a need to examine post-operative management outcomes following caesarean delivery, as they determine duration of hospital stay; with a view to improving patient satisfaction, demystifying and making the operation more acceptable when indicated.

Objective: To determine the difference in patient satisfaction and rate of readmission; between the short-stay and traditional post operative management protocols, following uncomplicated Caesarean delivery.

Materials and Methods: This was a randomized clinical trial done in LUTH, Nigeria. Two hundred women for elective Caesarean delivery were randomized into the short-stay and traditional groups. The women in the short-stay group were ambulant and oral intake initiated from 6 hours post-operative (regular diet commenced at 24 hours); and urethral catheter discontinued 12 hours post-operative. The traditional group was ambulant from 12 hours, oral intake initiated and urethral catheter discontinued at 24 hours post-operative. Erect posture of subjects was recorded at 72 hours post-operative. In the short-stay group, the wounds were inspected, exposed and the patient discharged on the third post-operative day. In the traditional group, the wounds were inspected and exposed and patient discharged on the fifth post-operative day. Patients’ level of satisfaction with care was noted at the 2 weeks postnatal visit; and any readmission in the puerperium was recorded.

Results: There was no significant difference in readmission rates between the two groups. Women in the short stay group had significantly higher level of satisfaction with care (t=7.19, p<0.001).

Conclusion: There is no difference in readmission rates between the 2 groups, but better patient satisfaction in the short-stay than the traditional post-operative management protocols, following uncomplicated Caesarean delivery.

 

Cite this article: Oyeyemi N, Afolabi BB, Oyeneyin OL, Oyeyemi AS. Are patients more satisfied with the short-stay than the traditional protocol following uncomplicated caesarean delivery? A clinical trial in the Lagos University Teaching Hospital (LUTH), Nigeria. Niger Delta J Med Med Res. 2024;3(3):113–119.

Keywords: Patient satisfaction, Uncomplicated Caesarean delivery, Short-stay, Traditional protocol, Lagos

References

1. Adupa D, Wandabiwa J, Kiondo P. A randomized Controlled Trial of Early Initiation of Oral feeding after Caesarean Delivery in Mulago Hospital. East Afr Med J. July 2003; 80(7):345-50.

2. Buchmann EJ, Pillay N, Katusiime C. Early discharge from hospital after Caesarean section at Chris Hani Baragwanath Hospital. SAJOG. March 2011; 17(1):17-18.

3. The CAESAR study collaborative group. Caesarean section surgical techniques: a randomised factorial trial (CAESAR). BJOG. 2010; 117:1366–1376.

4. American Academy of Paediatricians/American College of Obstetricians and Gynaecologists. Guidlines for Perinatal Care. 3rd ed. Washington DC: American College of Obstetricians and Gynaecologists; 1992: 105-8. 5. Welt SI, Cole JS, Myers MS, Sholes DM Jr, Jelovsek FR. Feasibility of postpartum rapid hospital discharge: a study from a community hospital population. Am J Perinato.l 1993; 10:384-7.

6. Brooten D, Roncoli M, Finkler S, Arnold L, Cohen A, Mennuti M. A randomized trial of early hospital discharge and follow-up of women having Caesarean birth. Obstet Gynecol. 1994; 84: 832-8.

7. Norr KF, Nacion K. Outcomes of postpartum early discharge, 1960-1986: a comparative review. Birth. 1987; 14:135-41.

8. Centres for Disease Control. Trends in Length of Stay for Hospital Deliveries – United States, 1970 1992. MMWR Weekly. 1995; 44(17);335-7.

9. Fasubaa OB, Ogunniyi SO, Dare FO, Isawumi AI, Ezechi OC, Orji EO. Uncomplicated caesarean section: is prolonged hospital stay necessary? East Afr Med J. 2000;77:448-451.

10. Salaria M, Gupta P, Bisht HJ. Early Discharge of Normal Term Neonates: Continued Dilemma. Indian Pediatrics. 2001; 38: 1374-81.

11. Cotzias CS, Paterson-Brown S, Fisk NM. Obstetricians say yes to maternal request for elective Caesarean section: a survey of current opinion. European J Obstet Gynaecol Reprod Biol. 2001;97:15–16.

12. Hamilton BE, Martin JA, Ventura SJ: Births: Preliminary Data for 2007. National Vital Statistics Reports, Vol 57, No 12. Hyattsville, Md, National Center for Health Statistics, 2009.

13. Abrahamson JH, Abrahamson ZH (eds). Clinical Trials. Research Methods in Community Medicine 6th ed. John Wiley and Sons Ltd, 2008: 325-344.

14. Handbook on Reproductive Health indicators, United Nations. New York, 2001. Introduction, page13. [Internet] [Cited 2024 Aug 24]. Available from http://www.unescap.org/esid/psis/publications/hand bookhealth/handbook.pdf

15. Abrahamson JH. WINPEPI (PEPI-for-Windows): computer programs for epidemiologists. Epidemiologic Perspectives & Innovations 2004, 1:6.

16. Hema, KR. And Johanson, R. Techniques for performing Caesarean section, Best Pract Res Clin Obstet Gynaecol. 2001;15(1)17-47.

17. Gibb D, Operative Obstetrics. In Maxwell DJ (ed) Surgical Techniques in Obstetrics and Gynaecology. Churchill Livingstone 2004: 57-80.

18. Fassoulaki A, Petropoulos G, Staikou C, Siafaka I, Sarantopoulos C. General versus neuraxial anaesthesia for Caesarean section: impact on the duration of hospital stay. J Obstet Gynecol. 2009 Jan; 29(1)25-30.

19. Liu S, Heaman M, Kramer MS, Demissie K, Wen SN, Marcoux S. Length of hospital stay, Obstetric Conditions at Childbirth, maternal readmission: a population-based cohort study. Am J Obstet Gynecol. 2002 Sep; 187(3): 681-7.

20. Shorten A. Obstetric early discharge versus traditional hospital stay. Aust Health Rev. 1995; 18(2):19-39

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