The Free Cesarian in the Health District of Bougouni

• 作者: Amadou Boucoum Cheickna Sylla Ibrahima Tegueté Lassana Togola Niani Mounkoro Seydou Fané Seydou Z. Dao Sitapha Dembele Soumana Oumar Traoré Youssouf Traoré
• 来源期刊: 妇产科期刊(英文)
• 学科: 数学
• 关键词: Caesarean Section Free of Charge Frequency Indications PROGNOSIS
• 年，卷（期）: 2020,（9）
• 页码范围: 1233-1245
• 页数: 13页
• 分类号: O17

摘要

<strong>Purpose: </strong><span style="font-family:;" "=""><span style="font-family:Verdana;">The purpose of this study was to assess the impact of free caesarean section on maternal-fetal prognosis. </span><b><span style="font-family:Verdana;">Materials and Methods:</span></b><span style="font-family:Verdana;"> This was a descriptive, cross-sectional, comparative analytical study of one year of non-free caesarean section and three years of free with retrospective data collection. Our study took place from January 1, 2004 to December 31, 2004 and from January 1, 2007 to December 31, 2009. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Caesarean section completion rates are 1.28%, 1.30%, 1.53%, 1.32% respectively in 2004, 2007, 2008, 2009. The average age was 27 years with extremes of 15 to 40 years. The peak of evacuations was recorded in 2007 with a rate of 89.4% and the peak of direct admissions in 2009 with a rate of 14.9%. An adequate means of transport was used in 77.20%. In 22.80% of cases an inadequate means was used. The indications of caesarean sections were dominated by preeclampsi</span></span><span style="font-family:Verdana;">a</span><span style="font-family:;" "=""><span style="font-family:Verdana;"> 211/1045 caesarean section followed by acute fetal suffering 179/1045;86/1045;placenta previa 64/1045;presentations of the shoulder </span><i><span style="font-family:Verdana;">i.e.</span></i><span style="font-family:Verdana;"> 53/1045;pre-rupture syndrome 44/1045;retro-placental hematoma 27/1045. In terms of maternal prognosis: we noted maternal deaths with a rate of 2.4%</span></span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">4</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">3%</span><span style="font-family