Cesarean delivery outcomes from the WHO global survey on maternal and perinatal health in Africa☆
Received 16 April 2009; received in revised form 14 August 2009; accepted 24 August 2009. published online 28 September 2009.
Abstract
Objective
To assess the association between cesarean delivery rates and pregnancy outcomes in African health facilities.
Methods
Data were obtained from all births over 2–3 months in 131 facilities. Outcomes included maternal deaths, severe maternal morbidity, fresh stillbirths, and neonatal deaths and morbidity.
Results
Median cesarean delivery rate was 8.8% among 83439 births. Cesarean deliveries were performed in only 95 (73%) facilities. Facility-specific cesarean delivery rates were influenced by previous cesarean, pre-eclampsia, induced labor, referral status, and higher health facility classification scores. Pre-eclampsia increased the risks of maternal death, fresh stillbirths, and severe neonatal morbidity. Adjusted emergency cesarean delivery rate was associated with more fresh stillbirths, neonatal deaths, and severe neonatal morbidity—probably related to prolonged labor, asphyxia, and sepsis. Adjusted elective cesarean delivery rate was associated with fewer perinatal deaths.
Conclusion
Use of cesarean delivery is limited in the African health facilities surveyed. Emergency cesareans, when performed, are often too late to reduce perinatal deaths.
Corresponding author. Department of Making Pregnancy Safer, World Health Organization, 1211 Geneva 27, Switzerland. Tel.: +41 22 791 2740; fax: +41 22 791 5853.
☆ Disclaimer: The views expressed are solely those of the authors and do not necessarily reflect the decisions or stated policy of the World Health Organization.
ABSTRACT