Author(s)

Cheickna Sylla^1,2*, Soumano Oumar Traoré^1,3, Alassane Traoré⁴, Alou Samaké⁵, Saleck Doumbia¹, Saoudatou Tall¹, Belco Tamboura¹, Sitapha Dembélé⁶, Seydou Z. Dao⁷, Ibrahima Teguété^3,8, Youssouf Traoré^3,8, Niani Mounkoro^3,8, Mamadou Traoré^1,3, Amadou Ingré Dolo^3,8

¹Department of Gynecology and Obstetrics, Reference Health Centre of Commune V, Bamako, Mali.
²Department of Obstetrics and Gynecology, Koutiala Reference Health Centre, Sikasso, Mali.
³Faculty of Medicine and Odontostomatology, University of Sciences, Techniques and Technologies, Bamako, Mali.
⁴Mali Hospital, Bamako, Mali.
⁵Department of Gynecology and Obstetrics, Reference Health Centre of Commune VI, Bamako, Mali.
⁶Department of Gynecology and Obstetrics, Hospital of Kayes, Kayes, Mali.
⁷Department of Gynecology and Obstetrics, Reference Health Centre of Commune II, Bamako, Mali.
⁸Department of Gynecology and Obstetrics, Gabriel Touré University Hospital, Bamako, Mali.

Objectives: The goal was to assess the risk factors for emergency cesarean section versus prophylactic caesarean section. Materials and Methods: This was a descriptive analytical cross-sectional study of the Type Cas/Witnesses at the Reference Health Centre of Commune V of the District of Bamako in Mali. The sample consisted of 100 cases for 200 controls (1 case for 2 controls) with retrospective collection of data for the period from January 1 to July 11, 2011 (6 months and 11 days). Results: During the study period, out of a total of 3559 deliveries, we recorded 2,794 vaginal deliveries, 78.50% and 765 caesarean sections or 21.50%. Of the 765ceras, we performed 353 emergency caesarean sections or 46.15% and 412 prophylactic caesarean sections 53.85%. We have selected 100 prophylactic caesarean section files and 200 emergency caesarean section files. The average age of the patients was 27.41 years-5.84 with extreme ages of 14 to 40 years. 100% of our patients (Cas) had performed at least one antenatal consultation compared to 83.5% of the parturients evacuated (Witnesses). The most frequently cited reasons for evacuation were: acute fetal suffering, non-cephalic presentation and excessive uterine height with 30%, 17.5% and 12% respectively. The bulk of the caesarean section indications were dominated by dystocies with 90% in cases compared to 65% in Witnesses, followed by acute fetal suffering with 30% in Witnesses. We recorded 30% perinatal deaths among Witnesses compared to 1% in Cases. We recorded 16 uterine ruptures in the Witnesses among which 2 hysterectomies and 14 hystererraphia. Conclusion: Prophylactic caesarean section improves maternal and perinatal prognosis more than emergency caesarean section.

Caesarean, Frequency, Evacuation, Maternal-Fetal Prognosis

Sylla, C. , Traoré, S. , Traoré, A. , Samaké, A. , Doumbia, S. , Tall, S. , Tamboura, B. , Dembélé, S. , Dao, S. , Teguété, I. , Traoré, Y. , Mounkoro, N. , Traoré, M. and Dolo, A. (2020) Maternal-Fetal Prognosis of the Prophylactic Cesaarian versus Emergency Cesaarian at the Reference Health Center of Commune V of Bamako District, Mali. Surgical Science, 11, 329-341. doi: 10.4236/ss.2020.1110034.