Cesarean Section: Epidemiological and Clinical Aspects at Gao Hospital in 2017 in Mali

Abstract

The aim was to evaluate the epidemio-clinical aspects of caesarean section at Gao Hospital. Materials and methods: This is a cross-sectional study with retrospective data collection from January 1 to December 31, 2017. It concerned the Gao region. Results: A total of 331 cases of caesarean section were recorded. It appears that 13% (331/2552) of births. Overall, more than (83%) of caesarean sections were performed in an emergency. According to the Baltimore classification, we found 39.79% (109/274) of absolute indications and 60.21% (165/274) of non-absolute indications. The top five indications for caesarean sections in the structure were caesarean section history (13, 14%), fetopelvic/large fetus disproportion (7, 30%), narrowed pelvis and pre-eclampsia/eclampsia (18, 25%), and acute fetal distress (4, 74%). The maternal death rate is estimated at 0.30%. The stillbirth rate was estimated at 14.50%. These were fresh stillbirths (48/343). The indication for caesarean section most associated with stillbirth was retroplacental hematoma. Conclusion: The maternal prognosis was good, however we see a high stillbirth rate.