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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Cesarean delivery outcomes from the WHO global survey on maternal and perinatal health in Africa
International Journal of Gynecology and Obstetrics, Volume 107, No. 3, Year 2009
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Description
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 83 439 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. © 2009 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Shah, Archana
Switzerland, Geneva
Organisation Mondiale de la Santé
Fawole, Bukola O.
Nigeria, Ibadan
University College Hospital, Ibadan
M'Imunya, James Machoki
Kenya, Nairobi
University of Nairobi
Amokrane, Faouzi
Algeria, Algiers
Ministère de la Santé, de la Population et de la Réforme Hospitalière Republic of Algeria
Idi, Nafiou
Niger
Faculté Des Sciences de la Santé
Wolomby, Jean José
Democratic Republic Congo, Kinshasa
Clinique Universitaire de Kinshasa
Mugerwa, Kidza Yvonne
Uganda, Kampala
Makerere University
Neves, Isilda
Angola, Luanda
Delegação Provincial de Saúde de Luanda
Nguti, Rosemary
Kenya, Nairobi
Urban Research and Development Centre for Africa Uradca
Kublickas, Marius
Sweden, Stockholm
Karolinska Institutet
Mathai, Matthews
Switzerland, Geneva
Organisation Mondiale de la Santé
Statistics
Citations: 195
Authors: 11
Affiliations: 10
Identifiers
Doi:
10.1016/j.ijgo.2009.08.013
ISSN:
00207292
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative