[Cesarean section in a developing country. Profile and perspectives apropos of 21,743 deliveries between 1992 and 1995].
In three years and six month 21,743 delivered at the Maternity of Dakar University Hospital. Among them there were 2650 cesarean section. The cesarean rate is 16.93% of living birth. The principal indication was foeto-pelvic disproportion (32.5%) especially pelvic problem (27%). There was post operative mortality (1%) (especially hypertension) and morbidity (6%) (especially infection). Neonatal prognosis was also poor with a 10% early neonatal mortality. These findings show the important insufficiency and reflect major problems facing obstetric in Black Africa.
Cisse
C T
CT
Clinique Gynécologique et Obstétricale, CHU A. Le Dantec, Dakar.
Fall
P A
PA
Moreira
I V
IV
Terolbe
I
I
Diallo
D
D
Diouf
A
A
Ndiaye
P A
PA
Moreau
J C
JC
Diadhiou
F
F
D001034:Apgar Score; D002585:Cesarean Section / Q000401:mortality / Q000706:statistics & numerical data*; D003906:Developing Countries; D004420:Dystocia / Q000453:epidemiology / Q000601:surgery; D005260:Female; D005316:Fetal Distress / Q000453:epidemiology / Q000601:surgery; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000209:etiology; D007226:Infant Mortality; D007231:Infant, Newborn; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D011644:Puerperal Disorders / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D012675:Senegal / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000209:etiology
La césarienne dans un pays en développement. Bilan et perspectives à propos de 21743 accouchements entre 1992 et 1995.