title: [Cesarean deliveries in the maternity of military hospital of Tunis. Indication and prognosis: about 5008 cases].
abstract: 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.
authors.affiliation: Service de Gynécologie-Obstétrique, Hopital Militaire de Tunis, Tunis.
authors.forename: Fethi
authors.initials: F
authors.lastname: Messaoudi
authors.forename: Mohsen
authors.initials: M
authors.lastname: Yazidi
authors.forename: Samia
authors.initials: S
authors.lastname: Ben Jemaa
authors.forename: Mohamed
authors.initials: M
authors.lastname: Basly
authors.forename: Sonia
authors.initials: S
authors.lastname: El Housaini
authors.forename: Houcine
authors.initials: H
authors.lastname: Zayene
authors.forename: Lotfi
authors.initials: L
authors.lastname: Messaoudi
authors.forename: Mounir
authors.initials: M
authors.lastname: Chibani
authors.forename: Radhouane
authors.initials: R
authors.lastname: Rachdi
mesh_terms: 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