Related Experiment Video
Updated: Sep 11, 2025
Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
WHO Safe Surgery Checklist for Cesarean Section (CS) Delivery: Practice and Associated Factors Among Physicians in
Rusagura Rwizigira Eric1, Diomede Ntasumbumuyange2, Abraham Fessehaye Sium2
1Department of Obstetrics & Gynecology School of Medicine and Pharmacy College of Medicine and Health Science University of Rwanda Kigali Rwanda.
Background:
Cesarean delivery (CD) is a life-saving intervention when vaginal delivery is not feasible. It is one of the most frequently performed procedures in obstetrics. This study examines the practice of adherence to the World Health Organization (WHO) safe surgery checklist for CD among doctors in Rwanda.
Methods:
A cross-sectional survey was conducted among medical practitioners involved in Cesearan deliveries across Rwanda over 8 months in 2024. Data were collected on adherence to various pre-, intra-, and post-operative protocols that stick to the WHO safe surgery checklist for cesarean section (CS) delivery. The data were collected prospectively using a pre-tested questionnaire on Kobo Collect. Data were analyzed using STATA version 13 for analysis. Descriptive data are presented in frequencies and percentages in tables through univariate analysis. A p value ≤0.05 was considered statistically significant.
Results:
Significant gaps were found in adherence to pre-operative protocols, with 78.26% of participants not conducting team handovers using the WHO surgical safety checklist. Additionally, 84.78% of practitioners did not ensure pre-cesarean patient bathing with soap or the use of chlorhexidine, contrary to WHO recommendations. Intraoperative practices showed some alignment with the standards, such as the use of chlorhexidine for abdominal skin preparation (97.8%), but revealed deficiencies in thromboprophylaxis measures. Variability in operative techniques was noted, with 71.7% using the Pfannenstiel incision and the same percentage correctly placing the hysterotomy site.
Conclusion:
The study highlights critical gaps in adhering to pre-operative, intra-operative, and post-operative WHO safe surgery checklist for Cesearan delivery in Rwanda. There is a need for improved training, adherence to standardized safety protocols, and enhanced post-operative care practices to improve patient outcomes. Job title and clinical experience significantly influence adherence to best practices, underscoring the importance of specialized training.
Related Concept Videos
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:26Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
01:18Guidelines and Strategies for Safe Computer Charting
Maintain Confidentiality and Security:
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...