Risk Factors of Delivery by Caesarean Section in Cameroon (2003-2004): A Regional Hospital Report

Tebeu, Pierre Marie; Mboudou, Emile Télesphore; Halle, Gregory E.; Kongnyuy, Eugene J; Nkwabong, Elie; Fomulu, Joseph Nelson

doi:10.5402/2011/791319

Cited by 23 publications

(29 citation statements)

References 10 publications

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“…Majority (72.3%) of mothers gestational age at labor was less than 38 weeks, but in study done in Oman the majority of the mothers gestational age is above 38 weeks [14]. in this study, maternal age is significantly associated with cesarean section in line with other different studies [14,15]. Being undergone cesarean section more likely increase as age of mothers increase.…”

Section: Discussionsupporting

confidence: 85%

Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia

Gutema¹,

Shimye²

2014

JGO

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Abstract:Background: It is estimated that about 20 million cesarean section (CS) deliveries occur each year in the world.But, in least developed countries the rate of deliveries by CS is very few. Objectives: The objective of this study is to assess Factors associated with Caesarean section at Mizan Aman General Hospital Southwest Ethiopia. Method: A cross sectional study was conducted by reviewing medical record of mothers. The sample size was determined using single population proportion and total sample size was 354. The checklist was used for data collection by adopting from other articles. The data was entered into EPI info 7.1.0 and exported to SPSS version 17 then analyzed. Binary logistic regression was done. Odd ratio was used for interpretation of strength of prediction of the independent variable to the outcome cesarean section. For all statistical significance tests, the cut-off value set was p<0.05 with CI of 95%. Result: A total of 342 mother medical record was reviewed. Majority (39.2%) of them found between 20-24 with mean age of 23.1(+4.38). Majority (78.9%) of mother delivered through vagina while the remaining (21.1%) of them delivered by CS. Less number (32.3%) of them had ANC follow up for their current pregnancy, Maternal age, gestational age and the outcome of the new born have significant association with cesarean section. Conclusion and Recommendation: The rate of the cesarean section is high. Maternal age, gestational age and the outcome of the new born have significant association with cesarean section at the hospital. The rate of cesarean section at the hospital should be reduced.

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Section: Discussionsupporting

confidence: 85%

Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia

Gutema¹,

Shimye²

2014

JGO

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“…The prevalence of HBW, using the traditional cut-off value in our study (9.5%), was higher than that obtained by Abena Obama et al 9 (6.0%) and Tebeu et al 24 (4.3%) in 1995 and 2005, respectively, in Cameroon, suggesting that HBW is becoming more prevalent over time.…”

Section: Discussioncontrasting

confidence: 85%

High birth weight in a suburban hospital in Cameroon: an analysis of the clinical cut-off, prevalence, predictors and adverse outcomes

et al. 2016

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Background and aimsHigh birth weight (HBW) increases the risk of maternal and fetal morbidity and mortality. Its prevalence and adverse outcomes may be reduced if risk factors are identified and managed during pregnancy. The cut-off value for HBW remains debatable. The objectives of this study were to identify the optimal cut-off value and determine the prevalence, predictors and adverse outcomes of HBW in a suburban area of Cameroon.DesignA 6-year retrospective register analysis and a 3-month prospective phase.SettingA secondary care level (regional) hospital in the city of Buea (southwest region of Cameroon).ParticipantsWomen who delivered in this hospital over a 6-year period (retrospective phase) and consenting pregnant mothers and their infants (singletons, born at >28 weeks gestation) (prospective phase).Outcome measures90th centile of birth weights; prevalence of HBW defined as birth weight above the 90th centile; sociodemographic, maternal and obstetrical factors associated with HBW; maternal and neonatal adverse outcomes of HBW.ResultsOf the 4941 newborns reviewed in registers, the 90th centile of birth weights was 3850 g. Using this new cut-off, we obtained a prevalence of 14.0% for HBW in the 200 newborns included in the prospective phase. This was significantly higher than the prevalence (9.5%) yielded when the traditional cut-off of 4000 g was used (p=0.003). None of the factors assessed was independently associated with HBW. Newborns with HBW were more likely to have shoulder dystocia (p<0.01), and their mothers more likely to suffer from prolonged labour (p=0.01) and postpartum haemorrhage (p<0.01).ConclusionsThe results of this study suggest that the cut-off for HBW in this population should be 3850 g. Thus, 3 of every 10 babies born with HBW in this hospital are likely not receiving optimal postnatal care because 4000 g is currently used to qualify for additional support.

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“…Comparable results have been reported from younger maternal ages in Sudan and UAE [19][20]. Accordingly, higher incidences of C-section were reported among teenage wives of less than 17 years old [21]. In agreement with previous studies carried out in some developing countries, the teenage wives reported with higher prevalence rate of C-section exposure during this survey were mostly primiparous mothers [22].…”

Section: Discussionsupporting

confidence: 79%

Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen

Mehrass¹

2016

AJHR

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Compared to vaginal deliveries, caesarean section (C-section) is a major surgery that could be associated with higher risks of maternal and infant mortality and morbidity. In Yemen, some recent reports indicated overuses of C-section. This was a cross-sectional study aimed to assess the risk ratio difference in C-section exposure between Yemeni mothers according to their demographic variables. A total of 400 participants of reproductive age visiting health centers for obstetric care in the central area of the western highlands of Yemen were randomly interviewed using a pretested questionnaire. The results found that the prevalence of C-section exposure among the study participants was 22%. Mothers' demographic variables showed significant differences in the risk ratio of C-section exposure. Among these variables, large differences in the risk ratio of C-section exposure were estimated between urban versus rural (RR = 3.9, ER = 2.9, P ˂ 0.001) and literate versus illiterate mothers (RR = 3.8, ER = 2.8, P ˂ 0.001). Relatively moderate differences were revealed by parity and maternal age variables (RR = 2.7; ER = 1.7; P ˂ 0.001, RR = 2.6; ER = 1.6; P ˂ 0.001, respectively). Age at marriage, employment status, and visiting health services practice, however, were associated with low differences in the C-section exposure. To strengthen the mother and infant health programs in Yemen, maternal variables including place of residence and educational status should be considered as predictors for either an unnecessary or additionally needed C-section.

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Risk Factors of Delivery by Caesarean Section in Cameroon (2003-2004): A Regional Hospital Report

Cited by 23 publications

References 10 publications

Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia

Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia

High birth weight in a suburban hospital in Cameroon: an analysis of the clinical cut-off, prevalence, predictors and adverse outcomes

Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen

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