| Cesarean delivery surveillance system at a maternity hospital in Kabul, Afghanistan. | |
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MedLine Citation:
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PMID: 18926535 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article Date: 2008-10-15 |
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: 104 ISSN: 0020-7292 ISO Abbreviation: Int J Gynaecol Obstet Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2008-12-16 Completed Date: 2009-04-30 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: 14-7 Citation Subset: IM |
Affiliation:
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Faculty of Medicine, University of Toronto, Toronto, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Afghanistan
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epidemiology Cesarean Section / statistics & numerical data* Female Hospitals, Maternity / statistics & numerical data Humans Medical Audit* Obstetric Labor Complications / mortality* Population Surveillance* Pregnancy Stillbirth / epidemiology* |
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