TITLE:
Study on the Quality of Cesarean Sections: Experience of the Saint-Louis Regional Hospital Center from January 1, 2022, to December 31, 2023
AUTHORS:
Ousmane Thiam, Mor Talla Ndiaye, Lamine Gueye, Djibryl Bahaid Sow, Cherif Cheikh Tourade Sarr, Mouhamadou Mamoune Ndiaye
KEYWORDS:
Cesarean Section, Quality, Robson, Saint-Louis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.12,
December
16,
2025
ABSTRACT: Objectives: The overall objective of this study was to evaluate cesarean sections performed at the maternity ward of the Saint-Louis Regional Hospital Center according to the ROBSON classification. Methodology: This was a retrospective cross-sectional study covering the period from January 1, 2022, to December 31, 2023. The study included all women who gave birth in the department during the study period. The sampling was exhaustive, covering all cases of cesarean sections performed during the study period. Data were collected from our continuous data recording database. Data were extracted from Falemaker pro using MS Excel 2019 in macro mode and then transferred to SPSS (Statistical Package for Social Sciences) software. Results: We recorded 3,476 cesarean sections out of 11,142 deliveries at the CHRSL, representing a relative frequency of 31%. The average age of patients was 27 years, with extremes of 12 and 52 years. The most represented age group was 20 - 35 years old. Nulliparous women accounted for 38.6% of cesarean sections. 73.7% of women in labor had undergone at least four prenatal care visits. Single pregnancies accounted for 95.96% of cesarean sections, followed by twin pregnancies, accounting for 3.92%. Cephalic presentation accounted for 91.89% of cesarean sections, followed by breech presentation, accounting for 7.47%. Patients with a history of cesarean section accounted for 37.6% of cesarean sections, and 75.28% of them had a single scarred uterus. Multiple scarred uteri accounted for 28.95% of the indications for cesarean sections. 63% of patients received care within the first hour of admission. The average length of hospital stay was 3 days. We observed 4.82% of postoperative complications. During our study, we noted that Robson classification group 2 was the most represented, at 31.4%, followed by group 5, at 28.92%. 97.56% of newborns had an Apgar score greater than 7 at five minutes, and stillbirths accounted for 4%. We recorded 14 maternal deaths, representing a cesarean section mortality rate of 0.4%. Conclusion: The frequency of cesarean sections has continued to increase over the last few decades and is related to its indications, which differ from one place to another. Our study shows that cesarean section appears to reduce fetal and maternal morbidity and mortality, but it still carries risks of morbidity and mortality, especially in settings where women have limited access to quality obstetric care.