Premium
A cross‐sectional study of indications for cesarean deliveries in Médecins Sans Frontières facilities across 17 countries
Author(s) -
Groen Reinou S.,
Trelles Miguel,
Caluwaerts Severine,
PapillonSmith Jessica,
Noor Saiqa,
Qudsia Burhani,
Ndelema Brigitte,
Kondo Kalla M.,
Wong Evan G.,
Patel Hiten D.,
Kushner Adam L.
Publication year - 2015
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2014.12.008
Subject(s) - medicine , cephalopelvic disproportion , placental abruption , placenta previa , obstetrics , uterine rupture , retrospective cohort study , gynecology , pregnancy , fetus , placenta , surgery , uterus , genetics , caesarean section , biology
Objective To review the major indications for cesareans performed by Médecins Sans Frontières (MSF) personnel from the Operational Center Brussels. Methods A retrospective study was undertaken of all singleton cesarean deliveries from 2008–2012 for which indications were recorded. Location of project, age of patient, type of anesthesia, and duration of operation were also recorded. Results A total of 14 151 singleton cesarean deliveries were identified from 17 countries. Among the 15 905 indications recorded, the most common was failure to progress or cephalopelvic disproportion (4822 [30.3%]), followed by previous uterine scar (2504 [15.7%]), non‐reassuring fetal status (2306 [14.5%]), and fetal malpresentation (1746 [11.0%]). Other indications were placenta or vasa previa (794 [5.0%]), uterine rupture (676 [4.3%]), hypertensive disorders (659 [4.1%]), placental abruption (520 [3.3%]), pre‐rupture (450 [2.8%]), and cord prolapse (365 [2.3%]). Conclusion Indications for cesareans in MSF settings differ from those in higher‐income countries. Further investigation is needed for adequate emergency obstetric care coverage.