title: [The characteristics of pregnancy-puerperium in central Africa. I. Cesarean section in 3 different areas in Zaire].
abstract: A series of 5,127 deliveries carried out in rural (Boende), in semi-urban (Bonzola) and in the urban university teaching hospital units was studied from April to September 1986 to assess pregnancy and the puerperium in a Zairian population. In particular the Caesarean section rate was looked at. Two hundred and forty eight Caesareans were carried out--a rate of 4.8%. More were carried out in university centres (8.6%), than in semi-urban districts (2.2%) or in rural hospitals (1.3%). The maternal morbidity due to haemorrhage and infection and the mortality were also higher in the urban and teaching hospitals (5.9% and 2.3%) than in the other hospitals. In Bonzola it was 2.5% and 0.3%. These figures suggest overall that carrying out Caesarean operations in developing countries with poor equipment has to be considered much more seriously than in centres that are well equipped.
authors.affiliation: Départment de Gynécologie-Obstétrique, Cliniques Universitaires de Kinshasa (CUK), Kinshasa I, Zaïre.
authors.forename: K
authors.initials: K
authors.lastname: Tshibangu
authors.forename: E
authors.initials: E
authors.lastname: Mboloko
authors.forename: K
authors.initials: K
authors.lastname: Kizonde
authors.forename: L
authors.initials: L
authors.lastname: Bolemba
authors.forename: M
authors.initials: M
authors.lastname: Biayi
authors.forename: K
authors.initials: K
authors.lastname: Engendju
authors.forename: K
authors.initials: K
authors.lastname: Sinamuli
mesh_terms: D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects / Q000706:statistics & numerical data*; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D015023:Democratic Republic of the Congo / Q000453:epidemiology; D003906:Developing Countries; D005260:Female; D006801:Humans; D008423:Maternal Age; D008428:Maternal Mortality; D008875:Middle Aged; D007744:Obstetric Labor Complications / Q000453:epidemiology; D049590:Postpartum Period; D011247:Pregnancy / Q000706:statistics & numerical data*; D012307:Risk Factors; D012424:Rural Population; D013383:Suburban Population; D014505:Urban Population