title: [Improving the provision of major obstetric interventions by task delegation in Africa: An example from the Bogodogo health district hospital in Ouagadougou, Burkina Faso].
abstract: OBJECTIVE
  To describe the role of task delegation in the practice of major obstetric procedures in the Bogodogo health district hospital.
  
  
  METHODS
  This descriptive and analytic prospective study took place in the hospital's department of obstetrics and gynecology from February through October 2013. It included all women undergoing a major obstetric surgical intervention, performed by either by a gynecologist-obstetrician or by a nurse specializing in surgery. Data were collected from individual records and analyzed by SPSS and Epidata software.
  
  
  RESULTS
  There were 601 major obstetric interventions during the study period. The women's mean age was 26.7 years. Cesarean deliveries accounted for 90% of these procedures, followed by laparotomy (7.7%). The Misgav-Ladach technique was used for cesareans by 86.5% of the obstetricians and 95.3% of the nurses specialized in surgery. The primary complications were anemia and postpartum hemorrhage. Maternal mortality did not differ significantly between the groups of operators, nor did maternal, fetal, and neonatal outcomes.
  
  
  CONCLUSIONS
  Task delegation in obstetric surgery at the Bogodogo district hospital is effective. Its extension to the national level would make it possible to overcome the lack of highly qualified human resources to enable adequate availability of major obstetric interventions in rural hospitals.
authors.affiliation: UFR/SDS, université de Ouagadougou, Ouagadougou, Burkina Faso.
authors.forename: C M
authors.initials: CM
authors.lastname: Ouédraogo
authors.affiliation: UFR/SDS, université de Ouagadougou, Ouagadougou, Burkina Faso, Centre hospitalier universitaire Yalgado-Ouédraogo, 01 BP 676, Ouagadougou, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Ouattara
authors.affiliation: UFR/SDS, université de Ouagadougou, Ouagadougou, Burkina Faso, Centre hospitalier universitaire Yalgado-Ouédraogo, 01 BP 676, Ouagadougou, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Ouédraogo
authors.affiliation: UFR/SDS, université de Ouagadougou, Ouagadougou, Burkina Faso.
authors.forename: M
authors.initials: M
authors.lastname: Bikienga
authors.affiliation: UFR/SDS, université de Ouagadougou, Ouagadougou, Burkina Faso, Centre hospitalier universitaire Yalgado-Ouédraogo, 01 BP 676, Ouagadougou, Burkina Faso.
authors.forename: J
authors.initials: J
authors.lastname: Lankoandé
mesh_terms: D000293:Adolescent; D000328:Adult; D002050:Burkina Faso; D032022:Delegation, Professional / Q000706:statistics & numerical data*; D005260:Female; D006767:Hospitals, District; D006801:Humans; D008875:Middle Aged; D013513:Obstetric Surgical Procedures / Q000706:statistics & numerical data*; D011247:Pregnancy; D011446:Prospective Studies; D055815:Young Adult
keywords: Burkina Faso; major obstetric interventions; tasks delegation