scholarly journals A prospective study of maternal, fetal and neonatal outcomes in the setting of cesarean section in low- and middle-income countries

2017 ◽  
Vol 96 (4) ◽  
pp. 410-420 ◽  
Author(s):  
Margo S. Harrison ◽  
Omrana Pasha ◽  
Sarah Saleem ◽  
Sumera Ali ◽  
Elwyn Chomba ◽  
...  
2014 ◽  
Vol 92 (8) ◽  
pp. 605-612 ◽  
Author(s):  
Sarah Saleem ◽  
Elizabeth M McClure ◽  
Shivaprasad S Goudar ◽  
Archana Patel ◽  
Fabian Esamai ◽  
...  

2020 ◽  
Author(s):  
Idrissa Beogo ◽  
Amadou Darboue ◽  
Tiara Marthias ◽  
Sia Drissa ◽  
Tchouaket Nguemeleu Eric ◽  
...  

Abstract Background: Advancement in medicine has improved birth assistance. As a result, caesarean section delivery (CSD) has become the most commonly performed surgical procedure. The exponential growth has now skewed toward low- and middle-income countries (LMICs) despite the well-established morbimortality risk and extra costs associated to this procedure. The expansion of private healthcare sector may be playing a significant role. The objective of this review synthesizes knowledge and investigates the difference in materno-fetal and neonatal outcomes of CSD in the perinatal period, between private and public hospitals. Methods: Medline, Embase, Cinhal, Cochrane Database, LILACS, and HINARI were screened for peer-reviewed published studies in English and French, from 1990 to 2019, in human subjects and supplemented by manual searches. The studies included were prospective and retrospective cohort studies, cross-sectional and Delphi studies comparing perinatal outcomes of women whose neonates were delivered by caesarean section and by vaginal delivery in public and private hospitals. In total, the searches yielded 7,762 studies, assessed independently by two assessors. Of these, 26 quantitative studies were included which risk of bias was considered fairly low.Results: Elective or not, CSD is associated with a variety of outcomes, including death for both the mother and the neonate. Low quality of life, postpartum depression, infections, and scars were burdens attributable to CSD in both sectors. CSD is associated with less urinary incontinence compared to vaginal delivery but no difference exists in early skin-to-skin contact or in early breastfeeding introduction. Finally, across continents, Africa leads in terms of adverse consequences.Discussion/Conclusion: Private facilities surpassed public ones in CSD rate but were associated with the least severe materno-neonatal outcomes. Countries like China are succeeding through robust policies interventions formulation to contain the CSD epidemic and the health issues associated thereto.


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Lester Figueroa ◽  
Elizabeth M. McClure ◽  
Jonathan Swanson ◽  
Robert Nathan ◽  
Ana L. Garces ◽  
...  

2015 ◽  
Vol 3 (7) ◽  
pp. e366-e377 ◽  
Author(s):  
Caroline H D Fall ◽  
Harshpal Singh Sachdev ◽  
Clive Osmond ◽  
Maria Clara Restrepo-Mendez ◽  
Cesar Victora ◽  
...  

2012 ◽  
Author(s):  
Joop de Jong ◽  
Mark Jordans ◽  
Ivan Komproe ◽  
Robert Macy ◽  
Aline & Herman Ndayisaba ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document