TITLE:
Maternal Complications of Caesarean Section in a Resource-Limited Country: The Case of the Maternity Unit of Kankan Regional Hospital, Guinea
AUTHORS:
Mamadou Hady Diallo, Ibrahima Sory Baldé, Amadou Diouldé Diallo, Ousmane Baldé, Boubacar Siddi Diallo, Ibrahima Sylla, Oumou Hawa Bah, Lanciné Doumbouya, Aisssatou Taran Diallo, Yolande Hyjazi, Namory Keita
KEYWORDS:
Complications, Cesarean, Maternity, Kankan-Guinea
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.7,
July
18,
2019
ABSTRACT: Introduction: Innovations in surgical and anaesthetic techniques to provide a good
maternal and child safety have made the cesarean section a routine intervention
in obstetrics. However, its complications, especially the short or long term
per and postoperative maternal ones, are not exceptional and can affect mothers’
vital prognosis. The objectives of this study were to describe the maternal per
and postoperative complications encountered during the cesarean section. Patients and method: This is a prospective, descriptive and analytical study carried out at
the maternity ward of Kankan Regional Hospital over a 6 month period from
January 1, 2018 to June 30, 2018. Results: During this period, out of a total of 2229 deliveries, 319 caesarean
sections were performed i.e. a rate
of 12.51%. Complications concerned 111 patients (34.79%). The average age was
28 with extremes of 15 and 45. Non-medical transportation concerned 71.17% of
our patients. The cesarean section was performed in emergency situations in
82.8% of cases. Indications were dominated by the fetopelvic disproportion.
There was a statistically significant relationship between labour duration and
the occurrence of complications. Intraoperative complications were dominated by
bleeding (25.22% of all complications and 8.77% of total cesarean sections).
Post-operative complications were dominated by parietal suppurations (94.49% of
all complications and 34.79% of the total number of cesarean sections). In most
cases, patients simultaneously developed several complications. Conclusion: The maternal complications of cesarean sections remain considerable. If
the increase in the rate of caesarean sections has contributed to the
improvement of the mother-fetal prognosis, the surgical procedure itself is not
without complications, which encourages us to review its indications for a
better management. Hemorrhagic and infectious
complications were the most frequent. These results call for increased asepsis
measures in our operation theaters to reduce infectious complications. The
increase in Caesarean section rates over the years is faced with increased
maternal morbidity in the short and long term. Its indications should be well
thought out and should include the responsibility of an experienced
obstetrician.