TITLE:
The Free Cesarian in the Health District of Bougouni
AUTHORS:
Cheickna Sylla, Soumana Oumar Traoré, Sitapha Dembele, Seydou Z. Dao, Lassana Togola, Amadou Boucoum, Seydou Fané, Ibrahima Tegueté, Youssouf Traoré, Niani Mounkoro
KEYWORDS:
Caesarean Section, Free of Charge, Frequency Indications, Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.9,
September
23,
2020
ABSTRACT: Purpose: The purpose of this study was to assess the impact of free caesarean
section on maternal-fetal prognosis. Materials and Methods: This was a
descriptive, cross-sectional, comparative analytical study of one year of
non-free caesarean section and three years of free with retrospective data
collection. Our study took place from January 1, 2004 to December 31, 2004 and
from January 1, 2007 to December 31, 2009. Results: Caesarean section
completion rates are 1.28%, 1.30%, 1.53%, 1.32% respectively in 2004, 2007,
2008, 2009. The average age was 27 years with extremes of 15 to 40 years. The
peak of evacuations was recorded in 2007 with a rate of 89.4% and the peak of
direct admissions in 2009 with a rate of 14.9%. An adequate means of transport
was used in 77.20%. In 22.80% of cases an inadequate means was used. The
indications of caesarean sections were dominated by preeclampsia 211/1045 caesarean
section followed by acute fetal suffering 179/1045; 86/1045; placenta previa
64/1045; presentations of the shoulder i.e. 53/1045; pre-rupture syndrome 44/1045; retro-placental hematoma 27/1045. In
terms of maternal prognosis: we noted maternal deaths with a rate of 2.4%, 2.4%, 4.3%, 0.4% respectively in 2004, 2007, 2008, 2009. And stillbirth rates
were 17.6%, 22.4%, 27.4%, 21.7% respectively in 2004, 2007, 2008, 2009. The average length of hospitalization was 10 days. Conclusion: Free caesarean section would be a factor in improving the maternal-fetal
prognosis.