Epidemio-Clinical Factors Associated with Caesarean Section in Two Referral Hospitals (Public/Faith-Based), Far-North Region, Cameroon

Nana, Paul Alain; Fomulu, Joseph Nelson; Djenabou, A.; Mbu, Robinson Enow; Tonye, R; Wandji, J. C.; Leke, Robert J. I.

doi:10.4303/cmch/c100602

Cited by 3 publications

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“…CPD was the most frequent indication for CD (32.2%). This findings correlates with that made by Forsah in Buea, Cameroon [ 11 ], Nana et al [ 36 ] in the Far-North region of Cameroon and Sugewe [ 31 ] in Yaoundé, Cameroon. It is also consistent with findings in many other studies out of Cameroon [ 9 , 20 , 23 , 24 , 33 , 37 – 40 ].…”

Section: Discussionsupporting

confidence: 92%

Caesarean delivery in the Limbé and the Buea regional hospitals, Cameroon: frequency, indications and outcomes

et al. 2016

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IntroductionNeonatal outcomes can be directly and indirectly affected by caesarean delivery (CD). Data on CD rates in semi-urban and rural hospitals in resource-limited settings are scarce and yet are needed to better guide the care of women and neonates in these settings. we carried out this study to determine the frequency of CD, its indications and the frequency of the various adverse neonatal outcomes (ANO) in the Limbe Regional Hospital (LRH) and the Buea Regional Hospital (BRH), Cameroon. We also assessed the relationship between the indication for CD and ANO in the said hospitals.MethodsThis was a hospital-based retrospective and prospective cross-sectional study using descriptive and analytic methods conducted in the LRH and the BRH maternity units within a nine months period in 2015. Informed consent was obtainedfrom mothers of the neonates. Data analyses were performed using Epi-Info 3.5.4 software.ResultsWe recruited 199 neonates born through CD. The prevalence of CD was 13.3% with cephalopelvic disproportion (CPD) being the most frequent (32.2%) indication for CD. There were 52 (26.1%) ANO following CD and respiratory distress was the most common 24 (46.2%) of all ANO. Emergency indications for CD were associated with more ANO 49 (34.5%) as compared to elective indications for CD 3 (5.3%) [p-value<0.001]. We noted a significant association between indications for CD and the various type of ANO, with CPD having the worse prognostic neonatal outcomes 30.8% [p-value=0.02].ConclusionThe prevalence of ANO associated with CD in our hospitals was high with a worrying prognosis. While the exact reasons are unknown, the creation of well-equipped neonatal units with trained staff, may contribute to reduce neonatal morbidity and fatalities. Furthermore, the association of CPD to worse prognostic neonatal outcomes calls for clinicians, to consider additional management options, such as antibiotic prophylaxis and oxygen therapy to the neonates, prior to CD.

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Section: Discussionsupporting

confidence: 92%

Caesarean delivery in the Limbé and the Buea regional hospitals, Cameroon: frequency, indications and outcomes

et al. 2016

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“…The average rate of CS in the BRH is 20.3%. This is far more than the national CS rate of 2 to 3% and a rate of 7-12% at the University Teaching Hospital, Yaoundé by Nana et al [4] The difference in CS rate in the BRH compared to rates in CHU is 10.8%. This is because the BRH manages mostly referred patients indicated for CS in the in the Buea health district.…”

Section: Nursing Care Practice At the Brh Predisposing Patients To Pomentioning

confidence: 90%

“…[5] This is followed by hemorrhage, bladder puncture and respiratory difficulties is similar to the studies conducted by Nana and Dipanda. [4,11] 12(13.04%) of the patients developed severe epigastric pain post-operatively which is a sing of starvation which indirectly affects wound healing as the protein used in wound healing is instead converted as energy. Two reports from ACOG are of the opinion that fluids can be allowed soon after surgery and light diet may be started when the woman feels ready to eat.…”

Section: Nursing Care Practice At the Brh Predisposing Patients To Pomentioning

confidence: 99%

“…[4] Coalition for Improving Maternity Services, is concerned with the dramatic increase and ongoing over use of CS. [4,5] The Reproductive Care Program Nova Scotia published that the rates of CS increased from 6% in 1970 and 26% in 2006 Worldwide. [6,7] The estimates in Cameroon put the national caesarean section rate at about 2 to 3%.…”

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“…[5] Hemorrhage, infection and bladder puncture has been reported to be the main CS complication. [4] With all these, the researcher aims at finding out nursing care practices at the Buea Regional Hospital that predispose CS women to complications in the postoperative period. There are a lot of lapses in the pre-and postoperative management of women undergoing cesarean section by nurses, there by exposing these women to risk of developing cesarean complications after surgery?.…”

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confidence: 99%

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Nursing Practices at the Buea Regional Hospital That Predispose Cesarean Section Patients to Post-Operative Complications.

Cumber¹,

Wirndzem²,

Nuhow³

et al. 2017

IJAR

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Prevalence, indications and neonatal complications of caesarean deliveries in Cameroon: a systematic review and meta-analysis

2020

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Background: The trend of increasing caesarean deliveries in developed countries over the past three decades is now being observed in sub-Saharan African. This rise might be associated with an increase in the complications that could arise from this surgical intervention. We therefore sought to assess the prevalence, indications and complications of caesarean deliveries in Cameroon. Methods: We systematically searched online databases: Medline; Global Health and the CINAHL from 01st January 1966 to 25th July 2019. We reviewed published cohort studies, retrospective register analysis and cross-sectional studies that described cohorts of pregnant women presenting at delivery facilities in Cameroon; and included those that had an estimate of the proportion of women who delivered by caesarean sections. Results: There were 126 articles initially identified by the search and 88 articles were retained after removal of duplicates. After screening of the titles and abstracts, and full text review, we identified 16 articles describing 22 cohorts of women presenting for delivery in health facilities in Cameroon. The overall estimate for the prevalence of caesarean deliveries was 9.9% (95% CI: 7.4, 12.8%, I 2 = 99.68%, χ 2 = 315.9, p < 0.001). The prevalence of caesarean deliveries increased progressively from 3.4% (95% CI: 2.2, 4.8%) before the year 2000, to 9.8% (95% CI: 7.4, 12.8%) between 2000 and 2009 and 14.7% (95% CI: 8.8, 21.7%) from 2010 to 2019. The three commonest indications for caesarean deliveries were: cephalopelvic disproportion (27.5%; 95% CI: 17.5, 38.7%); previous caesarean deliveries (13.2%; 95% CI: 7.4, 20.3%) and foetal distress (11.2%; 95% CI: 4.8, 19.5%). Neonates who were born by caesarean delivery were more likely to have neonatal asphyxia when compared with neonates born from vaginal deliveries (OR: 6.5; 95% CI: 2.5, 16.5). Conclusion: The rates of caesarean deliveries in Cameroon falls just within the recommended 10-15% range proposed by the World Health Organisation but have however been increasing progressively in the past decades. There is a strong need to assess the various indications of caesarean deliveries in Cameroon in order to curb its associated complications.

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Epidemio-Clinical Factors Associated with Caesarean Section in Two Referral Hospitals (Public/Faith-Based), Far-North Region, Cameroon

Cited by 3 publications

References 1 publication

Caesarean delivery in the Limbé and the Buea regional hospitals, Cameroon: frequency, indications and outcomes

Caesarean delivery in the Limbé and the Buea regional hospitals, Cameroon: frequency, indications and outcomes

Nursing Practices at the Buea Regional Hospital That Predispose Cesarean Section Patients to Post-Operative Complications.

Prevalence, indications and neonatal complications of caesarean deliveries in Cameroon: a systematic review and meta-analysis

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