Cesarean delivery outcomes from the WHO global survey on maternal and perinatal health in Africa

Authors:
  • BFBukola Fawole
    Bukola Fawole
  • JMJames Machoki M'IMunya
    James Machoki M'IMunya
  • FAFaouzi Amokrane
    Faouzi Amokrane
  • INIdi Nafiou
    Idi Nafiou
  • JWJean‐José Wolomby
    Jean‐José Wolomby
  • KMKidza Mugerwa
    Kidza Mugerwa
  • INIsilda Neves
    Isilda Neves
  • RNRosemary Nguti
    Rosemary Nguti
  • MKMarius Kublickas
    Marius Kublickas
  • MMMatthews Mathai
    Matthews Mathai
Publisher website
Google Scholar
Abstract
Objective: To assess the association between cesarean delivery rates and pregnancy outcomes in African health facilities.Methods: Data were obtained from all births over 2–3 months in 131 facilities. Outcomes included maternal deaths, severe maternal morbidity, fresh stillbirths, and neonatal deaths and morbidity.Results: Median cesarean delivery rate was 8.8% among 83 439 births. Cesarean deliveries were performed in only 95 (73%) facilities. Facility‐specific cesarean delivery rates were influenced by previous cesarean, pre‐eclampsia, induced labor, referral status, and higher health facility classification scores. Pre‐eclampsia increased the risks of maternal death, fresh stillbirths, and severe neonatal morbidity. Adjusted emergency cesarean delivery rate was associated with more fresh stillbirths, neonatal deaths, and severe neonatal morbidity—probably related to prolonged labor, asphyxia, and sepsis. Adjusted elective cesarean delivery rate was associated with fewer perinatal deaths.Conclusion: Use of cesarean delivery is limited in the African health facilities surveyed. Emergency cesareans, when performed, are often too late to reduce perinatal deaths.

This publication has 10 references indexed in Scilit: