Caesarean section at Koudougou regional hospital centre: indications and prognosis
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20205211Keywords:
Caesarean section, Indications, Koudougou regional hospital center, PrognosisAbstract
Background: Objective was to study the indications and the prognosis of cesarean section in the obstetrics and gynecology department of CHR Koudougou from August 1st to October 16th 2018.
Methods: This was a cross-sectional study for descriptive purposes with prospective collection of data over the month and monitoring of parturients up to the 42nd day post caesarean section. The study covered the period from August 1 to October 16, 2018. Gestures received in the work room and those hospitalized for a scheduled cesarean were involved in this study.
Results: This study involved 316 deliveries. The caesarean section rate was 34.8% (n=110). The average age was 26.75 years with extremes of 12 and 42 years. Term pregnancies represented 90.9%. History of cesarean section was observed in 47, 3%. The main groups contributing to the caesarean section rate represent: Groups 5 (9.5%), Group 1 (9.2%), Group 3 (5.1%), the scar uterus (17.3%) and suffering fetal (14.6%). The reported complications were 15.5% including 3.6% parietal suppuration and 0.8% stillbirth.
Conclusions: The caesarean section occupies an important place in the maternity service of the RHC of Koudougou. Robson's group 5 was the largest contributor to the overall cesarean rate in our study. Measures should be taken in this group so that the uterine scar does not become an absolute indication for cesarean.
References
World Health Organization (WHO), Caesarean section: an intervention to be done only in case of medical necessity. Available at https:// www.who.int/bulletin/volumes/98/1/19-236729/en/. Accessed on 10 August 2020.
World Health Organization (WHO). WHO statement on caesarean section rates. Available at https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en/. Accessed on 12 September 2020.
Ray LC, Prunet C, Thauraux DC, Goffinet F, Blondel B. Robson's classification: a tool for evaluating Caesarean section practices in France. J Gynecol Obset Biol Reprod. 2015;44(7):605-13.
Central Statistical Office (CSO), Ministry of Health (MOH), Tropical Diseases Research Centre (TDRC), University of Zambia, and Macro International Inc. 2009. Zambia Demographic and Health Survey 2007. Calverton, Maryland, USA: CSO and Macro International Inc. 2009:311.
Kenya National Bureau of Statistics (KNBS) and ICF Macro. 2010. Kenya Demographic and Health Survey 2008-09. Calverton, Maryland: KNBS and ICF Macro. 2010:275.
National Institute of Statistics and Economic Analysis (INSAE) with the collaboration of National AIDS Control Program (PNLS) Cotonou, Benin and Macro International Inc. Calverton, Maryland, USA. Available at https:// dhsprogram. com/pubs/ pdf/FR197/00PagesPréliminaires00.pdf. Accessed on 10 August 2020.
Uganda Bureau of Statistics (UBOS) and Macro International Inc. 2007. Uganda Demographic and Health Survey 2006. Calverton, Maryland, USA: UBOS and Macro International Inc. 2007;311.
Institut National de la Statistique et de la Démographie (INSD) and ORC Macro. 2004. Burkina Faso Demographic and Health Survey 2003.Calverton, MD, USA: INSD and ORC Macro. Available at https:// dhsprogram. com/ publications/ publication-fr256-dhs-final-reports.cfm. Accessed on 12 August 2020.
Institut National de la Statistique et de la Démographie (INSD) and ICF International, 2012. Enquête Démographique et de Santé et à Indicateurs Multiples du Burkina Faso 2010. Calverton, Maryland, USA: INSD and ICF International. Available at https:// dhsprogram. com/ pubs/ pdf/FR256/FR256.pdf. Accessed on 29 August 2020.
Bokossa M, Nguessan K, Doumbia Y, Kakou C, Djougou C, Boni S. Prophylactic and emergency Caesarean sections: about 394 cases at Cocody University Hospital (Abidjan). Med Afr Noire. 2008;55(11):594-601.
Ouédraogo CM, Ouédraogo A, Ouattara A, Lankoandé J. The practice of caesarean section in a district hospital in Ouagadougou epidemiological, clinical and prognostic aspects concerning 3,381 cases. Med Santé Trop. 2015;25:194-9.
Bilobrk JL, Dizdarevic SJ, Brkovic I. Analysis of cesarean section delivery at nova bila hospital according to the robson classification. Antropol Coll. 2015;39(1):145-50.
Kazmi T, Sarva SV, Saiseema V, Khan S. Analysis of caesarean section rate - according to Robson's 10 group classification. Oman Med J. 2012;27(5):415-7.
Kelly S, Sprague A, Fell DB, Murphy P, Aelicks N, Guo Y. Examining caesarean section rates in Canada using the robson classification system. J Obst Gynaecol Canada. 2013;35(3):206-14.
Pereira NM, Leal CM, Pereira EAP, Domingues RMSM, Torres JA, Dias MAB, Moreira ME. Use of Robson classification to assess cesarean section rate in Brazil: the role of source of payment for childbirth. Reproductive Health. 2016;13(3):128.
Foumane P, Mve KV, Njofang MJ, Ngantcha EA, Dohbit JS, Mboudou ET. Risk factors and prognosis of emergency caesarean sections at the gynaeco-obstetric and paediatric hospital of Yaoundé (Cameroon) faculty of medicine and biomedical sciences, BP 4362. 2014;24(1).
Diallo FB, Diallo MS, Bangoura S, Diallo AB, Camara Y. Caesarean section: a factor in reducing fœto-maternal morbidity and mortality at the Ignace deen University Hospital Centre in Conakry (Guinea). Medicine Black Africa. 1998;45(6):359-64.
Bambara M, Fougan E, Dao B, Ouattara S, Ouattara H, Lankoandé J, et al. Caesarean section in an African environment: about 440 cases at the maternity hospital of the CHUSS of Bobo-Dioulasso (Burkina Faso). Med Afr Noire. 2007;54(6):344-8.
