title: [Risk factors and prognosis of emergency cesarean delivery at the Yaoundé Women's and Children's Hospital, Cameroon].
abstract: OBJECTIVE
  To identify the risk factors for emergency cesarean deliveries and assess the effects of the emergency situation on maternal and fetal prognosis.
  
  
  METHODS
  This retrospective cohort study compared emergency and elective cesarean deliveries performed at the Yaoundé Women's and Children's Hospital in Cameroon, analyzing socioeconomic variables, the indications for surgery, and complications for mother and child.
  
  
  RESULTS
  Risk factors predisposing to emergency cesareans were: age <20 years, not having a salaried job, unmarried status, no university-level education, referral from other health facilities, primiparity, prenatal care in a health center or in a district hospital, prenatal care by a nurse, and preadmission rupture of membranes. Emergency cesareans increased the mothers risk of general anesthesia, unavailability of standard preoperative work-up during surgery, infection, and a longer hospital stay. Babies born by emergency cesarean delivery had a higher risk of admission to the neonatology unit, neonatal asphyxia, neonatal infection, preterm birth, and perinatal death.
  
  
  CONCLUSIONS
  In our setting, lack of reproductive experience (primiparity), low socioeconomic level, poor prenatal care, and preadmission rupture of membranes were risk factors for emergency cesarean deliveries. The emergency situation exposes mother and child to a significant risk of morbidity and mortality.
authors.affiliation: Faculté de médecine et des sciences biomédicales, BP 4362, Yaoundé, Cameroun.
authors.forename: P
authors.initials: P
authors.lastname: Foumane
authors.affiliation: Faculté de médecine et des sciences biomédicales, BP 4362, Yaoundé, Cameroun.
authors.forename: V
authors.initials: V
authors.lastname: Mve Koh
authors.affiliation: Faculté de médecine et des sciences biomédicales, BP 4362, Yaoundé, Cameroun.
authors.forename: J
authors.initials: J
authors.lastname: Ze Minkande
authors.affiliation: Institut des Sciences de la Santé, Yaoundé, Cameroun.
authors.forename: E A
authors.initials: EA
authors.lastname: Njofang Ngantcha
authors.affiliation: Faculté de médecine et des sciences biomédicales, BP 4362, Yaoundé, Cameroun.
authors.forename: J S
authors.initials: JS
authors.lastname: Dohbit
authors.affiliation: Faculté de médecine et des sciences biomédicales, BP 4362, Yaoundé, Cameroun.
authors.forename: E T
authors.initials: ET
authors.lastname: Mboudou
mesh_terms: D002163:Cameroon; D002585:Cesarean Section / Q000009:adverse effects*; D015331:Cohort Studies; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000453:epidemiology / Q000209:etiology; D011247:Pregnancy; D011379:Prognosis; D011644:Puerperal Disorders / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D012307:Risk Factors
keywords: adverse outcome; emergency cesarean section; morbidity; mortality; risk factors