Abstract
Objectives: Cesarean section rates are still high in referral hospitals in Benin. One of the Cesarean main indications is uterine scar to avoid the risk of uterus rupture. The objective of this study was to evaluate the outcomes of inducing labor on uterine scar in Cotonou. Patients and Methods: This was a prospective study conducted at Lagune Mother-Child University Hospital (HOMEL) in Cotonou, Benin Republic from 1 January 2009 to 31 December 2013. The population of study was pregnant women with scarred uterus, selected after calculation of oxytocin perfusion score. Results: The frequency of inducing labour on scarred uterus in our sample was 0.49%. Vaginal birthing rate was 93.54. Apgar score was greater than 7 in the first minute in 95.69% of cases. A case of neonatal death as a result of neonatal infection was recorded. Maternal complications included hemorrhages (3 cases), dehiscence of the scar (1 case), and no case of maternal death. Conclusion: Induction of labor on scarred uterus is possible in underdeveloped countries, with a success rate similar to that of developed countries under good medical supervision.
Highlights
The average rate of Caesarean section is slowly increasing in Benin, but with disparities by socio-economic factors between urban and rural areas and by wealth quintiles
The need to reduce the cesarean rate without harming the mother, the fetus and the newborn is fairly recent in Benin
To reduce the risk of maternal complications, fetal and neonatal that would be increased by cervical ripening [2], it was established at the Lagune Mother and Child University Hospital, a score of the use of oxytocin on uterine scar
Summary
The average rate of Caesarean section is slowly increasing in Benin, but with disparities by socio-economic factors between urban and rural areas and by wealth quintiles. At the Lagune Mother-Child University Hospital in Cotonou, active onset of labor was adopted. To reduce the risk of maternal complications, fetal and neonatal that would be increased by cervical ripening [2], it was established at the Lagune Mother and Child University Hospital, a score of the use of oxytocin on uterine scar. The monitoring of this score would assist with careful review of the case and decision or not for cesarean section. The objective of the study was to determine the outcomes of labour induction on scarred uterus and establish the maternal and perinatal prognosis in a country with limited resources
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