Cesarean Delivery Outcomes From The Who Global Survey On Maternal And Perinatal Health In Africa.
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Date
2009-12Author
Shah, A
Fawole, B
M'imunya, JM
Amokrane, F
Nafiou, I
Wolomby, JJ
Mugerwa, K
Neves, I
Nguti, R
Kublickas, M
Mathai, M.
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
OBJECTIVE:
To assess the association between cesarean delivery rates and pregnancy outcomes in African health facilities.
METHODS:
Data were obtained from all births over 2-3 months in 131 facilities. Outcomes included maternal deaths, severe maternal morbidity, fresh stillbirths, and neonatal deaths and morbidity.
RESULTS:
Median cesarean delivery rate was 8.8% among 83439 births. Cesarean deliveries were performed in only 95 (73%) facilities. Facility-specific cesarean delivery rates were influenced by previous cesarean, pre-eclampsia, induced labor, referral status, and higher health facility classification scores. Pre-eclampsia increased the risks of maternal death, fresh stillbirths, and severe neonatal morbidity. Adjusted emergency cesarean delivery rate was associated with more fresh stillbirths, neonatal deaths, and severe neonatal morbidity--probably related to prolonged labor, asphyxia, and sepsis. Adjusted elective cesarean delivery rate was associated with fewer perinatal deaths.
CONCLUSION:
Use of cesarean delivery is limited in the African health facilities surveyed. Emergency cesareans, when performed, are often too late to reduce perinatal deaths.
URI
http://hinari-gw.who.int/whalecomwww.ncbi.nlm.nih.gov/whalecom0/pubmed/19782977http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/44879
Citation
Int J Gynaecol Obstet. 2009 Dec;107(3):191-7. doi: 10.1016/j.ijgo.2009.08.013. Epub 2009 Sep 27Collections
- Faculty of Health Sciences (FHS) [10378]