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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Audit of cesarean delivery in Burkina Faso
International Journal of Gynecology and Obstetrics, Volume 125, No. 3, Year 2014
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Description
Objective To assess the level and determinants of unnecessary cesarean delivery. Methods In a retrospective study, the medical charts were reviewed for 300 low-risk women who underwent intrapartum cesarean delivery at 10 referral hospitals in Burkina Faso between May 2009 and April 2010. In this context, cesarean deliveries were delegated to clinical officers who have less training than doctors. Results Among the 300 study patients, 223 women (74.3%) were referred from primary healthcare facilities. The reason for referral was not medically justified for 35 women. Cesarean was performed by a gynecologist-obstetrician (46.0%), a trained doctor (35.0%), or a clinical officer (19.0%). Acute fetal distress and fetopelvic disproportion were the main indications recorded for intrapartum cesarean delivery. These diagnoses were not confirmed by an obstetrician-gynecologist in 12.0% of cases. Clinical officers were associated with a higher risk of unnecessary cesarean delivery compared with gynecologist-obstetricians by multivariate analysis (odds ratio, 4.46; 95% confidence interval, 1.44-13.77; P = 0.009). Conclusion Verification of cesarean indications by highly qualified personnel (i.e. second opinion), in-service training, and supervision of health workers in primary healthcare facilities might improve the performance of the referral system and help to reduce unnecessary cesarean deliveries in Burkina Faso. © 2014 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Kouanda, Sèni
Burkina Faso, Ouagadougou
Institut de Recherche en Sciences de la Santé
Burkina Faso, Ouagadougou
Institut Africain de Santé Publique Iasp
Coulibaly, Abou
Burkina Faso, Ouagadougou
Institut de Recherche en Sciences de la Santé
Ouédraogo, Ali G.
Burkina Faso, Ouagadougou
University of Ouagadougou
Burkina Faso, Ouagadougou
Centre Hospitalier Universitaire Yalgado Ouedraogo
Millogo, Tiéba
Burkina Faso, Ouagadougou
Institut de Recherche en Sciences de la Santé
Meda, Ivlabèhiré Bertrand
Burkina Faso, Ouagadougou
Institut de Recherche en Sciences de la Santé
Dumont, Alexandre
France, Paris
Université Paris Cité
Statistics
Citations: 24
Authors: 6
Affiliations: 5
Identifiers
Doi:
10.1016/j.ijgo.2013.11.010
ISSN:
00207292
e-ISSN:
18793479
Research Areas
Health System And Policy
Study Design
Cohort Study
Case-Control Study
Study Locations
Burkina Faso
Participants Gender
Female