In:
International Journal of Gynecology & Obstetrics, Wiley, Vol. 129, No. 3 ( 2015-06), p. 231-235
Kurzfassung:
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.
Materialart:
Online-Ressource
ISSN:
0020-7292
,
1879-3479
DOI:
10.1016/j.ijgo.2014.12.008
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2015
ZDB Id:
1500480-6
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