[Cesarean deliveries in the maternity of military hospital of Tunis. Indication and prognosis: about 5008 cases].
BACKGROUND
The rates of cesareans increased in many countries, these last years.


OBJECTIVE
we propose to evaluate the indications, and the maternal and foetal prognosis.


METHODS
it's a retrospective study of 5008 cesareans during 10 years period, collected in the maternity of the military hospital of Tunis.


RESULTS
Cesarean section rate is 21.59%. The cicatricial uterus constitutes the dominant indication (34%). In the event of noncicatricial uterus, the fetal suffering (24.7%), the failure of the trial of labour (14.2%), and the breech presentation (12.7%) are the principal indications. The hemorrhage constitutes the major complication into peroperational (2%). The post-operative complications are noted in 15.5%. Maternal mortality is 0.13%; perinatal mortality is 1.06%; perinatal morbidity is 9.68%.


CONCLUSIONS
The increase of cesarean rate improves fetal and neonatal prognosis however it was associated to an increase of maternal.
Messaoudi
Fethi
F
Service de Gynécologie-Obstétrique, Hopital Militaire de Tunis, Tunis.
Yazidi
Mohsen
M
Ben Jemaa
Samia
S
Basly
Mohamed
M
El Housaini
Sonia
S
Zayene
Houcine
H
Messaoudi
Lotfi
L
Chibani
Mounir
M
Rachdi
Radhouane
R
D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data*; D002921:Cicatrix / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006772:Hospitals, Military; D006801:Humans; D007231:Infant, Newborn; D008875:Middle Aged; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000209:etiology; D011379:Prognosis; D014591:Uterine Diseases / Q000453:epidemiology / Q000209:etiology