Abstract
Exemption from Health Care Fees Influences Indications of Caesarean Section in a Urban Health District Hospital in Benin
Highlights
Maternal and neonatal mortality is a public health problem in developing countries
The study material consisted of the medical records of women who underwent caesarean in Suru Léré health district hospital before and during the implementation of the policy of caesarian section fee exemption (PCSFE), whether admitted directly or referred from other health facilities
This study examined the evolution of the caesarean section rate and its indications in periods before and during the implementation PCSFE in urban heath district hospital in Cotonou, Benin
Summary
Maternal and neonatal mortality is a public health problem in developing countries. Caesarean section contributes to reduce complications associated with childbirth [1]. Taking into account the model of the three delays affecting care seeking, referral and providing appropriate emergency obstetric care in a timely manner [2], Benin instituted free caesarean section by in 2008 with the aim of reducing maternal mortality. This policy of free caesarean section care contributes to an increase in the rate of caesarean section from 3.7% in 2009 to 6.4% in 2012 according to study in four health districts [3]. Even when a good caesarean section is performed, recovery after surgery usually takes longer than normal vaginal delivery [11]
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