| Cesarean delivery outcomes from the WHO global survey on maternal and perinatal health in Africa. | |
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MedLine Citation:
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PMID: 19782977 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the association between cesarean delivery rates and pregnancy outcomes in African health facilities. METHODS: Data were obtained from all births over 2-3 months in 131 facilities. Outcomes included maternal deaths, severe maternal morbidity, fresh stillbirths, and neonatal deaths and morbidity. RESULTS: Median cesarean delivery rate was 8.8% among 83439 births. Cesarean deliveries were performed in only 95 (73%) facilities. Facility-specific cesarean delivery rates were influenced by previous cesarean, pre-eclampsia, induced labor, referral status, and higher health facility classification scores. Pre-eclampsia increased the risks of maternal death, fresh stillbirths, and severe neonatal morbidity. Adjusted emergency cesarean delivery rate was associated with more fresh stillbirths, neonatal deaths, and severe neonatal morbidity--probably related to prolonged labor, asphyxia, and sepsis. Adjusted elective cesarean delivery rate was associated with fewer perinatal deaths. CONCLUSION: Use of cesarean delivery is limited in the African health facilities surveyed. Emergency cesareans, when performed, are often too late to reduce perinatal deaths. |
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Authors:
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Archana Shah; Bukola Fawole; James Machoki M'imunya; Faouzi Amokrane; Idi Nafiou; Jean-Jos? Wolomby; Kidza Mugerwa; Isilda Neves; Rosemary Nguti; Marius Kublickas; Matthews Mathai |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S. Date: 2009-09-27 |
Journal Detail:
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Title: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Volume: 107 ISSN: 1879-3479 ISO Abbreviation: Int J Gynaecol Obstet Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-11 Completed Date: 2010-02-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0210174 Medline TA: Int J Gynaecol Obstet Country: Ireland |
Other Details:
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Languages: eng Pagination: 191-7 Citation Subset: IM |
Affiliation:
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Department of Making Pregnancy Safer, World Health Organization, Geneva, Switzerland. shaha@who.int |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Africa / epidemiology Breast Feeding / statistics & numerical data Cesarean Section / mortality*, statistics & numerical data* Developing Countries Female Health Services Accessibility Health Surveys Humans Infant Mortality Infant, Newborn Maternal Health Services / statistics & numerical data Perinatal Care / statistics & numerical data Pregnancy Surgical Procedures, Elective / mortality*, statistics & numerical data* Treatment Outcome World Health Organization Young Adult |
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