Document Detail

Cesarean delivery surveillance system at a maternity hospital in Kabul, Afghanistan.
MedLine Citation:
PMID:  18926535     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To use an active facility-based maternal and newborn surveillance system to describe cesarean delivery practices and outcomes in a resource-poor setting. METHODS: Using data from operating room logbooks, 392 cesarean deliveries were evaluated between April 1 and June 30 2006 at a large public maternity hospital in Kabul, Afghanistan. RESULTS: The perinatal mortality rate was 89 per 1000 births: 57% antepartum and 37% intrapartum stillbirths. Fetuses with normal birth weight comprised 85% of intrapartum stillbirths. Obstructed labor, uterine rupture, and malpresentation accounted for more than 50% of perinatal deaths. The cesarean delivery rate was 10.2% and there were 2 maternal deaths. CONCLUSION: The high percentage of intrapartum stillbirths among normal birth weight fetuses suggests a need for improved labor monitoring and surgical obstetric practices. The use of a facility-based perinatal surveillance system is critical in guiding such quality assurance initiatives.
Tharani Kandasamy; Mario Merialdi; Richard J Guidotti; Ana P Betrán; Jennifer Harris-Requejo; Farima Hakimi; Paul F Van Look; F Kakar
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Publication Detail:
Type:  Journal Article     Date:  2008-10-15
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  104     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-16     Completed Date:  2009-04-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  14-7     Citation Subset:  IM    
Faculty of Medicine, University of Toronto, Toronto, Canada.
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MeSH Terms
Afghanistan / epidemiology
Cesarean Section / statistics & numerical data*
Hospitals, Maternity / statistics & numerical data
Medical Audit*
Obstetric Labor Complications / mortality*
Population Surveillance*
Stillbirth / epidemiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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