Cesarean sections in the Thiadiaye health district 2015 2016

Abstract

Objective: To evaluate the follow-up of pregnancy in patients with caesarean deliveries, the time taken to perform the procedure and the postoperative prognosis. Material and methods: This was a retrospective, descriptive and analytical study conducted over a period of two years at the Maternity Hospital of the health district. Data were collected from clinical records, delivery room and operating theatre registers. The variables studied were the epidemiological characteristics of the patients, the follow-up of the pregnancy, the indications for caesarean section and the maternal and neonatal outcome. The data were entered and analysed using SPHINX software. Results: During this period we performed 274 caesarean sections out of a total number of 7025 deliveries, i.e. a caesarean section rate of 3.9%. The epidemiological profile of the patients was that of a young woman, with an average age of 27.4 years. The majority were married (98.1%). The socio-economic level was low (97.8%) and they were primiparous (33.2%). As regards pregnancy follow-up, 34.3%) had had 3 antenatal consultations and 31.7% had had 4 antenatal consultations. Hypertension was observed in 25.9% of pregnancies. The standard blood test was performed in 25.2% of patients. For obstetrical ultrasound, 52.2% of patients had undergone at least one ultrasound examination. The majority of patients (80%) had their first caesarean section and 14% had their second. These were emergency caesareans in 82.1%. They were mandatory indications in 49%, of prudence in 30% and of necessity in 21%. The extraction time was less than 30 minutes in 41 cases and between 30 and 60 minutes in 132 cases. Post-operative complications were dominated by vasculo-renal syndromes. Perinatal mortality was 28.6‰. The contraceptive rate after caesarean section was 98.1% during this period. Conclusion: The management of deliveries in rural areas is often difficult, prenatal consultations are often of poor quality, the management of caesarean sections performed with rather long delays.