Epidemioclinical and Therapeutic Study of Caesarean Sections at the Markala Reference Health Centre

Abstract

This was a retrospective study conducted at the Markala referral health centre from 2019 to 2022. The general objective was to study caesarean section at CS Réf in Markala. During our study period from 2019 to 2022, we recorded 1244 caesarean sections, i.e. a frequency of 28.29% of all deliveries. Parturients were evacuated in 51.6% of cases. Only 14.23% of our parturients were well monitored. The most frequent indication for caesarean section was SFA in 30.1%, i.e. 375 cases. The surgical procedure most frequently associated with caesarean section was LRT. Maternal mortality was 0.3%, mainly due to haemorrhage and pregnancy-related maternal pathologies. Maternal morbidity was dominated by infections, severe anaemia and haemorrhage. Fetal mortality was 11.9%, mainly due to severe fetal distress. Resuscitation was required for 23.5% of our caesarean section babies. Improving these results requires the support of all sectors of society.