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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Caesarean section in a semi-rural hospital in Northern Namibia
BMC Pregnancy and Childbirth, Volume 7, Article 2, Year 2007
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Description
Background: Increasing caesarean sections rates (CSR) are a major public health concern and the prevention of the first caesarean section, which often leads to repeat operations, is an important issue. Analyzing caesarean sections can help to identify factors associated with variations in CSR and help to assess the quality of clinical care. Methods: In a retrospective observational study, during a two year period, indications of 576 caesarean sections were analyzed using intra-operative internal pelvimetry and a record keeping system in a semi-rural hospital in Northern Namibia. Results: Most caesarean sections were done for dystocia (34%) followed by repeat caesarean section (31%). The true conjugate (distance between the promontorium to mid pubic bone) was significantly smaller in these recurrent indication groups when compared to non recurrent indications. Conclusion: In this rural hospital the introduction of Delee Pelvimetry and a caesarean section record keeping system was found to be a simple and cheap method to analyse indications for caesarean sections, which may help in reducing unnecessary caesarean sections. © 2007 van Dillen et al; licensee BioMed Central Ltd.
Authors & Co-Authors
van Dillen, Jeroen J.
Netherlands, Leiden
Leids Universitair Medisch Centrum
Meguid, Tarek
Unknown Affiliation
Petrova, Vera A.
Namibia, Ondangwa
Onandjokwe Lutheran Hospital
van Roosmalen, Jos J.M.
Netherlands, Leiden
Leids Universitair Medisch Centrum
Statistics
Citations: 9
Authors: 4
Affiliations: 2
Identifiers
Doi:
10.1186/1471-2393-7-2
e-ISSN:
14712393
Research Areas
Health System And Policy
Study Design
Cohort Study
Study Locations
Namibia