摘要
<strong>Purpose: </strong><span style="font-family:;" "=""><span style="font-family:Verdana;">The purpose of this study was to assess the impact of free caesarean section on maternal-fetal prognosis. </span><b><span style="font-family:Verdana;">Materials and Methods:</span></b><span style="font-family:Verdana;"> This was a descriptive, cross-sectional, comparative analytical study of one year of non-free caesarean section and three years of free with retrospective data collection. Our study took place from January 1, 2004 to December 31, 2004 and from January 1, 2007 to December 31, 2009. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Caesarean section completion rates are 1.28%, 1.30%, 1.53%, 1.32% respectively in 2004, 2007, 2008, 2009. The average age was 27 years with extremes of 15 to 40 years. The peak of evacuations was recorded in 2007 with a rate of 89.4% and the peak of direct admissions in 2009 with a rate of 14.9%. An adequate means of transport was used in 77.20%. In 22.80% of cases an inadequate means was used. The indications of caesarean sections were dominated by preeclampsi</span></span><span style="font-family:Verdana;">a</span><span style="font-family:;" "=""><span style="font-family:Verdana;"> 211/1045 caesarean section followed by acute fetal suffering 179/1045;86/1045;placenta previa 64/1045;presentations of the shoulder </span><i><span style="font-family:Verdana;">i.e.</span></i><span style="font-family:Verdana;"> 53/1045;pre-rupture syndrome 44/1045;retro-placental hematoma 27/1045. In terms of maternal prognosis: we noted maternal deaths with a rate of 2.4%</span></span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">4</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">3%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">0.4% respectively in 2004</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2007</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2008</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2009. And stillbirth rates were 17.6%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">22</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">27</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">21.7% respectively in 2004</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2007</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2008</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2009</span><span style="font-family:Verdana;">. </span><span style="font-family:;" "=""><span style="font-family:Verdana;">The average length of hospitalization was 10 days. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Free caesarean section would be a factor in improving the maternal-fetal prognosis.</span></span>
<strong>Purpose: </strong><span style="font-family:;" "=""><span style="font-family:Verdana;">The purpose of this study was to assess the impact of free caesarean section on maternal-fetal prognosis. </span><b><span style="font-family:Verdana;">Materials and Methods:</span></b><span style="font-family:Verdana;"> This was a descriptive, cross-sectional, comparative analytical study of one year of non-free caesarean section and three years of free with retrospective data collection. Our study took place from January 1, 2004 to December 31, 2004 and from January 1, 2007 to December 31, 2009. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Caesarean section completion rates are 1.28%, 1.30%, 1.53%, 1.32% respectively in 2004, 2007, 2008, 2009. The average age was 27 years with extremes of 15 to 40 years. The peak of evacuations was recorded in 2007 with a rate of 89.4% and the peak of direct admissions in 2009 with a rate of 14.9%. An adequate means of transport was used in 77.20%. In 22.80% of cases an inadequate means was used. The indications of caesarean sections were dominated by preeclampsi</span></span><span style="font-family:Verdana;">a</span><span style="font-family:;" "=""><span style="font-family:Verdana;"> 211/1045 caesarean section followed by acute fetal suffering 179/1045;86/1045;placenta previa 64/1045;presentations of the shoulder </span><i><span style="font-family:Verdana;">i.e.</span></i><span style="font-family:Verdana;"> 53/1045;pre-rupture syndrome 44/1045;retro-placental hematoma 27/1045. In terms of maternal prognosis: we noted maternal deaths with a rate of 2.4%</span></span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">4</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">3%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">0.4% respectively in 2004</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2007</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2008</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2009. And stillbirth rates were 17.6%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">22</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">27</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">21.7% respectively in 2004</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2007</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2008</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2009</span><span style="font-family:Verdana;">. </span><span style="font-family:;" "=""><span style="font-family:Verdana;">The average length of hospitalization was 10 days. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Free caesarean section would be a factor in improving the maternal-fetal prognosis.</span></span>
作者
Cheickna Sylla
Soumana Oumar Traoré
Sitapha Dembele
Seydou Z. Dao
Lassana Togola
Amadou Boucoum
Seydou Fané
Ibrahima Tegueté
Youssouf Traoré
Niani Mounkoro
Cheickna Sylla;Soumana Oumar Traoré;Sitapha Dembele;Seydou Z. Dao;Lassana Togola;Amadou Boucoum;Seydou Fané;Ibrahima Tegueté;Youssouf Traoré;Niani Mounkoro(Department of Obstetrics and Gynecology, Koutiala Reference Health Centre, Sikasso, Mali;Faculty of Medicine and Odontostomatology, University of Science, Technology and Technology of Bamako, Bamako, Mali;Department of Gynecology and Obstetrics, Reference Health Centre of Commune V, Bamako, Mali;Department of Obstetrics and Gynecology, Kayes Hospital, Kayes, Mali;Department of Gynecology and Obstetrics, Commune II Reference Health Centre, Bamako, Mali;Department of Gynecology and Obstetrics, Gabriel Touré University Hospital, Bamako, Mali)
