Caesarean section rate for maternal indication in sub-Saharan Africa:: a systematic review
Caesarean section rate for maternal indication in sub-Saharan Africa:: a systematic review
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DOI：
10.1016/s0140-6736(01)06414-5
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发表时间：
2001-10-20
期刊：
影响因子：
168.9
通讯作者：
Bréart, G
中科院分区：
文献类型：
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作者：
Dumont, A;de Bernis, L;Bréart, G
自1970年以来，较发达国家的剖腹产率一直在上升，欠发达国家之间的差异很大。目前根据较发达国家的数据作出的估计需要用欠发达国家的数据加以验证。我们估计需要剖腹产产妇适应症在人口中的孕妇在西非（MOMA调查）。方法预期的剖腹产率计算从产科风险的MOMA人口的比率，剖腹产率在已发表的work.Findings四分之三的妇女从撒哈拉以南非洲的医院剖腹产产妇的原因。需要进行此类干预的主要原因有六个：产程延长、胎盘早剥、既往剖腹产、子痫、前置胎盘和胎位不正。虽然观察到西非妇女的剖腹产率为1.3%，但我们的研究结果与已发表的研究结果相结合，表明剖腹产率在3.6-6.5%之间（中位数，5.4%）。解释我们的方法可能不是严格准确的，但它很简单，并提供了翔实的调查结果，可以帮助决策者和卫生规划者在亚-撒哈拉非洲将制定和落实方案，以达到最佳剖腹产率。此外，将这种方法应用于医院数据可以改善这些国家从业者的评估。
Introduction Rates of caesarean sections in more-developed countries have been rising since 1970, and vary greatly between less-developed countries. Present estimates, based on data from more-developed countries need to be validated with data from less-developed countries. We estimated the need for caesarean section for maternal indication in a population of pregnant women in west Africa (MOMA survey).Methods The expected caesarean section rate was calculated from the rate of obstetric risk in the MOMA population, and rates of caesarean section in published work.Findings Three-quarters of women from hospitals of sub-Saharan Africa were delivered by caesarean section for maternal reasons. Such intervention was needed for six main reasons, protracted labour, abruptio placentae, previous caesarean section, eclampsia, placenta praevia, and malpresentation. Although the observed rate of caesarean section in west African women is 1.3%, our results, combined with those of published work suggest a range of 3.6-6.5% (median, 5.4%).Interpretation Our method might not be strictly accurate, but it is simple and provides informative findings that can help policy makers and health planners in sub-Saharan Africa to design and follow up programmes to reach the optimum caesarean section rate. Moreover, application of this method to hospital data could improve practitioners' assessments in these countries.