The Risk of Adverse Maternal and Neonatal Outcomes in Cameroonian Primiparous Women Aged More Than 26 Years

Nkwabong, Elie; Fomulu, Joseph Nelson; Hamida, A.M. Ben; Onana, Arnold E; Tjek, Paul; Kouam, L; Ngassa, P

doi:10.4303/cmch/c101202

Cited by 6 publications

(6 citation statements)

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“…The absence of paediatricians and neonatologists may contribute to these high rates of ANO Respiratory Distress was the most common ANO identified (>30%). This is consistent with findings in other studies [ 19 , 38 , 46 , 47 ]. On the other hand, in studies conducted by Allison in Australia [ 48 ] and Tebeuet al in Northern Cameroon [ 12 ], neonatal death (which is the second most frequent ANO in our study) was the most common ANO.…”

Section: Discussionsupporting

confidence: 94%

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: 94%

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

et al. 2016

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“…This finding is similar to those of Ujab et al [22] in Nigeria where primiparous women died more in 32% of cases, Tebeu et al [23] in Maroua, Cameroon and Eghe et al [24] in Benin, Nigeria also documented more deaths in nulliparous women. Nkwabong et al [25] showed that poor obstetric outcome was common amongst primips who were more than 25 years. Loudon [26] investigated the relationship between age and parity, and showed that for all ages, there was a higher risk of maternal death in first births than in second or third.…”

Section: Discussionmentioning

confidence: 99%

Attainment of the Fifth Millennium Development Goal: Utopia or Reality Based on Trends in Maternal Mortality in 12 Years in Two Regional Hospitals in Fako Division, Cameroon? A Retrospective Study

Ekane¹,

Egbe²,

Tchente³

et al. 2014

OJOG

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Introduction: According to WHO, globally an estimated 585,000 women die each year from complications of pregnancy and childbirth. One of the targets of Millennium Development Goal 5 (MDG 5) is to reduce maternal mortality by three quarters of the 1999 value by the year 2015. However, three years to 2015, very little is known on the trends in maternal mortality ratio, causes of maternal deaths and their associated factors in the Tiko Cottage Hospital (TCH) and Limbe Regional Hospital (LRH) in the SouthWest Region, Cameroon. Methods: This was a retrospective, analytical cross-sectional study that was carried out from 1 st January 2000 to December 2012. After obtaining ethical clearance, the records of cases of maternal deaths and a reference group of women who survived after a pregnancy during the same period were carefully reviewed. The data were analyzed with SPSS 10 and EPI 3.5.1. Results: There were 14,480 live births and 132 maternal deaths during the study period, giving an adjusted Maternal Mortality Ratio (MMR) of 892/100,000 live births. Patients' age ranged from 15-40 years (SD 2.3). We observed a downwards trend of Ma-* Corresponding author. G. E. Halle Ekane et al. 772 ternal Mortality Ratio (MMR). Seventy-eight percent of the maternal deaths were due to direct causes. The triad of hemorrhage (54.5%), abortions (17.4%), and eclampsia (10.6%) was the leading cause of death. HIV-related complications and hepatitis constituted the main indirect causes of maternal death. In 85.4% of cases, maternal deaths were avoidable. Lack of blood for transfusion and late referral of cases were the main avoidable factors. Patients less than 35 years (p = 0.01), no antenatal care (ANC) (p = 0.001), unemployment [OR = 1.52; 95% CI: (1.38-48.28); p = 0.02] were significantly associated with maternal deaths while grand multiparity [OR = 1.20; 95% CI (0.30-4.86); p = 0.79], marital status [OR = 1.20; 95% CI: (0.70-2.07); p = 0.51] and education level were not significantly associated with maternal deaths. Conclusion: The trend shows that there was no appreciable decline in maternal mortality, implying that attaining the objectives of MDG 5 is very unlikely. Therefore, to meet the MDG 5 target, we recommend that, there should be amelioration towards obstetric emergencies care and health education by health care providers.

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“…Indications for caesarean section were dominated by cephalopelvic disproportion and fetal distress in 17.3% and 13.7% of cases respectively. Nkwabong et al [15] in Cameroon found that cephalopelvic disproportion was the most frequent indication in 24.0% of cases. These results can be explained by the fact that most of the patients were primigravida and nulliparous, and therefore had pelvis that had never benefited from a trial of labor.…”

Section: Managementmentioning

confidence: 95%

Prevalence, Indications and Morbidity of Caesarean Sections in a Referral Hospital of the Health Voucher Program: The Case of Garoua Regional Hospital in the Northern Region of Cameroon

Stéphane,

Georges,

Nyong

et al. 2023

OJOG

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Caesarean section (CS) is a surgical procedure performed to remove a fetus from the mother's uterus through an incision on the abdominal wall, then on the uterine wall. The indications of CS vary not only between countries, but also from one hospital to another and from one team to another within the same hospital. Despite advances in asepsis and anesthesia/resuscitation technics, there are still complications of varying severity inherent to the gravidpuerperal state on one hand and the technics used on the other, irrespective of the operative indication. Thus, the present study was carried out with the objectives of determining the prevalence, identifying the indications, and evaluating the morbidity linked to caesarean sections in our environment. Cameroon has also set up a health voucher program in its northern region, aimed at reducing maternal and fetus morbidity and mortality. The program aims to improve financial access in antenatal care and deliveries, including caesarean sections, in this low-income region of the country. We conducted a

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The Risk of Adverse Maternal and Neonatal Outcomes in Cameroonian Primiparous Women Aged More Than 26 Years

Cited by 6 publications

References 7 publications

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

Attainment of the Fifth Millennium Development Goal: Utopia or Reality Based on Trends in Maternal Mortality in 12 Years in Two Regional Hospitals in Fako Division, Cameroon? A Retrospective Study

Prevalence, Indications and Morbidity of Caesarean Sections in a Referral Hospital of the Health Voucher Program: The Case of Garoua Regional Hospital in the Northern Region of Cameroon

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