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Caesarean in Rural Environment of Eastern Kasai (Dr Congo): Evolution of Caesarean Section Rates in Kasansa and Tshilenge

DOI: 10.4236/oalib.1104564, PP. 1-12

Subject Areas: Public Health

Keywords: Caesarean, Failure, Evolution, Kasansa, Tshilenge

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Abstract

Objective: To analyze the evolution monthly of the disastrous Caesarean and to their influence one maternal mortality and infantile in the General hospitals of reference of Kasansa and Tshilenge. Methods: Descriptive retrospective study Bi-centric related to 434 Caesareans carried out to the maternity of the general hospital of reference of Kasansa and that of Tshilenge during years 2015 and 2016. Our dated were collected in the obstetric files, registers of the maternity and the operating room. Public garden Ki square is used to compare it with the percentages and T of Student for the comparison of the averages in two maternities, and the percentage of increase gold reduction was calculated with the formulated of growth used also in economy. Results: Two maternities received respectively in 2015, 549 and 227 childbirth, among which 136 Caesareans carried out with Kasansa and 72 in Tshilenge. During the Disastrous months (from January to December), Caesareans dropped by 68.2%, (10.7% to 3.4%) in Kasansa and of 71.1% with Tshilenge (from 19.7% to 2.8%). In 2016, 702 childbirth and 109 Caesareans with Kasansa and 376 childbirth and 117 Caesareans with Tshilenge. Disastrous Caesarean dropped by 7% (from 12.8% to 11.9%) with Kasansa and raised of 143.3% with Tshilenge (from 6% to 14.6%). Perinatal mortality dropped by 69.5% in 2015 and 51.8% in 2016 and maternal mortality dropped respectively by 100% in 2015 and in 2016 of 35.9%. Conclusion: During 24 months concerned with the study (of January 2015 with December 2016), the practice of the Caesarean Knew has fell into the two structures except for maternity of Tshilenge 2016. Thus, the improvement of the maternal forecast master keys rather by year improvement of the quality of the obstetric assumption of responsibility but not by the increase amongst operational childbirth. Thesis results encourage custom to analyze the participation of the various disastrous indications in the variation of the Caesarean in this medium.

Cite this paper

Kabongo, A. G. , Kalala, D. , Bukasa, J. C. , Banza, D. B. , Kankologo, C. , Mutombo, A. and Wembonyama, S. (2018). Caesarean in Rural Environment of Eastern Kasai (Dr Congo): Evolution of Caesarean Section Rates in Kasansa and Tshilenge. Open Access Library Journal, 5, e4564. doi: http://dx.doi.org/10.4236/oalib.1104564.

References

[1]  Nwosu, C., Agumor, K., Aboyeji, A.P. and Ijaiya, M.A. (2004) Outcome of Caesarean Section in a Sub-Urban Secondary Health Care Facility in Nigeria. Nigeria Medicine Practice, 46, 77-79.
[2]  Stanton, C.K., Sara, A. and Holtz S.A. (2006) Levels and Trends in Cesarean Birth in the Developing World. Stu Fam Plan., 37, 41-48.
https://doi.org/10.1111/j.1728-4465.2006.00082.x
[3]  Marc, H. (2007) Operative Delivery. In: Alan, H.D. and Lauren, N., Eds., Current Obstetrics and Gynecological Diagnosis and Treatment, 10th Edition, MC Graw Hill Publishers, New York, 469-476.
[4]  Labibe, L. (2012) Evolution of the Indications for Cesarean Section at the Souissi Maternity Ward between 1986 and 2010 (about 35,830 Cases). Thesis, Mohammed University, Rabat.
[5]  Cissé, C., Ngom, P.M., Guissé, A., Faye, E.O. and Moreau, J.C. (2004) Reflections on the Evolution of Caesarean Section Rates in Africa: Example of Dakar University Hospital between 1992 and 2001. Obstetrics Gynecology Biology Reproduction, 32, 210-217.
[6]  Kabongo, A.G., Bukasa, J.C., Banza, D.B., Kayembe, C., Mutombo, A., Wembonyama, S., et al. (2017) Caesarean in the Rural Environment of Eastern Kasai (DR Congo): Cover of the Needs and Quality of Services with Kasansa and Tshilenge. Journal of Clinical Obstetrics and Gynecology, 1, 40-47.
[7]  Brooch, D.-E., Courtois, L., Maillet, R. adn Riethmuller, D. (2008) Caesareans. Encyclopedia. Obstetrics Surgery Medicine, 5, 102-110.
[8]  Kizonde, K., Kinekinda, X., Kimbala, J. and Kamwenyi, K. (2006) Cesarean Section in Africa: Example of the Sendwe Central Maternity Hospital in Lubumbashi-DR Congo. Medicine of Black Africa, 53, 293-298.
[9]  Zongo, A., Kouanda, S., Fournier, P., Traore, M., Sondo, B. and Dumont, A. (2014) Trends in Institutional Caesarean Delivery among Low-Risk Patients in Senegal and Mali: Secondary Analysis of a Cluster-Randomized Trial (Quarry). Journal Women’s Health Care, 3, 192-199.
https://doi.org/10.4172/2167-0420.1000192
[10]  Guzerman, M. (2006) Five Years the Term Breech Triad: The Rise and Fall of a Randomized Controlled Trial. Journal of Obstetric Gynecology, 194, 20-25.
[11]  Carayol, M. (2004) Changes in the Rate of Caesarean Section before Work for Term Seat Presentation in France 1972-2003. Journal of Gynecology Obstetrics and Biology of Reproduction, 29, 30-39.
[12]  Goffiner, F., Blondel and Break, G. (2001) Questions Posed by a Controlled Trial by Hannah et al on the Systematic Practice of a Caesarean Section in the Event of a Siege. Journal of Gynecology Obstetrics Biology Reproduction, 30, 187-190.
[13]  Keita, N., Diallo, F.D., Gandaho, E. and Leno, D.W.A. (2014) Cesarean Section in Africa: Example of Guinea, Conseil National des Gynécologue et Obstétriciens Fran?ais, 38th National Days, Paris.
[14]  Gafni, A., Goeree, R., Myhr, T., Hannah, M., Blackhouse, G., Willan, A., et al. (1997) Induction of Labor versus Expectant Management for the Rupture of Membranes at Term: An Economic Evaluation. Canadian Medical Association Journal, 157, 1519-1525.
[15]  Souza, J.P., Gülmezoglu, A., Lumbiganon, P., Laopaiboon, M., Carroli, G., Fawole, B., et al. (2010) Caesarean Section without Medical Indications Is Associated with an Increased Risk of Adverse Short-Term Maternal Outcomes: the 2004-2008 WHO Global Survey on Maternal and Perinatal Health. BMC Medicine, 8, 71.
https://doi.org/10.1186/1741-7015-8-71
[16]  Ecker, J.L. and Frigoletto, F.D. (2007) Cesarean Delivery and the Risk-Benefit Calculus. The New England Journal of Medicine, 356, 885-888.
https://doi.org/10.1056/NEJMp068290
[17]  Mi, J. and Liu, F. (2014) Rate of Caesarean Section Is Alarming in China. The Lancet, 383, 1463-1464.
https://doi.org/10.1016/S0140-6736(14)60716-9
[18]  Bambara, M., Fongan, E., Dao, B., Ouattara, S., Ouattara, H., Lankoande, J. and Kone, B. (2007) Caesarean Section in Africa: About 440 Cases at CHUSS Maternity Hospital in Bobo-Dioulasso (Burkina Faso). Medicine of Black Africa, 54, 343-348.
[19]  Waniez, P., Wurtz, B. and Brustlein, V. (2006) Abuse of Caesarean Section in Brazil. Geographical Dimensions of a Medical Aberration. Cahiers Santé, 16, 21-31.
[20]  O’Driscoll, K. and Foley, M. (1983) Correlation of Decrease in Perinatal Mortality and Increase in Cesarean Section Rates. Journal of Obstetric Gynecology, 61, 1-5.
[21]  Hannah, M.E., Hannah, W., Hewson, S.A., Hodnett, E.D., Sagital, S. and William, A.R. (2000) Planned Caesarean Section versus Planned Vaginal Birth for Breech Presentation at Term: A Randomized Multicenter Trial. The Lancet, 356, 1375-1378.
https://doi.org/10.1016/S0140-6736(00)02840-3

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