Author(s)

Moussa Diallo^1*, Marie Edward Faye Dieme², Omar Gassama², Astou Coly Niassy Diallo², Mame Diarra Ndiaye Gueye², Jean Charles Moreau²

¹Service de Gynécologie-Obstétrique, Centre Hospitalier National de Pikine, Sis Camp de Thiaroye, Dakar, Sénégal.
²Clinique Gynécologique et Obstétricale de l’Hopital Aristide Le Dantec, Dakar, Sénégal.

The objective of this study was to analyze the indications of cesarean sections performed in a Level II clinic and to evaluate early maternal and neonatal outcome in the context of decentralization of obstetric and emergency newborn care. Material and Method: This was a retrospective descriptive and analytical study conducted at the maternity CSNC over a period of 12 months from 1 July 2010 to 30 June 2011. It included all women in childbirth by caesarean section and excluded patients admitted for management of complications of cesarean section performed in another structure. Results: During the study period, 595 caesarean sections were performed on a total of 4410 births, a rate of 13.5%. The average age of patients was 27 years. The mean parity was 2. The patients came from them even 55%. They were admitted with a single uterine scar in 28.40% of cases and bi-scar in 25.4% of cases. A pathology was associated with pregnancy in 31.6% of cases. These pathologies were dominated by vascular and renal syndromes (75.5%), anemia (13.8%) and the obstacles previa (10.1%). Caesarean sections were performed in 517 patients in emergency. The technique of Misgav Ladach was the most common 75.1%. The average hospital stay was 4.2 days with extremes of 0 and 15 days. Postoperative maternal mortality was 0.34%. Operative follow-up was simple in 98.3% of patients. Two patients (0.34%) died after surgery. In 92.4% of the cases, the newborns were alive. The Apgar score in the first minute was favorable (greater than or equal to 7/10) in 503 newborns (95.1%) and unfavorable (less than 7/10) in 47 cases (8.55%). At the fifth minute, he was favorable in 98.5% of the cases. Overall stillbirth was 72.26‰ with a total of 43 stillbirths including 3 macerated stillbirths. Conclusion: Cesarean section is by far the most accomplished action in gynecology and obstetrics. Its ease of implementation and low cost, and of course his results in terms of reduction of maternal-fetal morbidity and mortality make a key intervention and allowed its extension.

Cesarean Section, Indication, Misgav Ladach, Maternal and Fetal Prognosis

Diallo, M. , Dieme, M. , Gassama, O. , Diallo, A. , Gueye, M. and Moreau, J. (2019) The Caesarean Section in Dakar: Indications and Analysis Prognosis. Open Journal of Obstetrics and Gynecology, 9, 1213-1220. doi: 10.4236/ojog.2019.99118.