Abstract
Objective: To analyze the caesarean section prognosis aspects according to Misgav-Ladach versus classical technique in the regional hospital of Banfora. Materials and Methods: This is about a randomized clinical test of 2 groups carried in the regional hospital in Banfora on a two-month period from 1st October to 30 November 2015. In the first group, 66 patients had benefited from a caesarean section by the Misgav-Ladach technique. In the control group, 44 patients had benefited from a caesarean in the conventional technique. Were included in our sample all patients having benefited from a cesarean in the study site during the study period and who had consented to participate in the study. All patients were followed until the postpartum healing of the surgical wound. All prognostic elements have been compared. The results were analyzed with Epi Info 3.5.1 software and the significance level was set at 5%. Results: The indications for cesarean section were dominated by maternal causes in 70 cases (63.6%). The average duration of the surgical procedure was 27.98 mm for Misgav-Ladach technique versus 28.27 mm for the conventional technique (p = 0.49). The evaluation of blood loss by the change in hemoglobin pre- and post-operative did not find statistically significant differences between the two techniques (p = 0.6). The evaluation of the number of intraoperative suture used, was in favor of the technique of Misgav-Ladach (p = 0.007). The evolutionary trend in the intensity of postoperative pain was in favor of the technique of Misgav-Ladach. The average time of wound healing was 16.33 days for group 1 versus 21, 27 days for group 2 (p = 0.0001). Postoperative morbidity was greater with the conventional technique in comparison to Misgav-Ladach’s (p = 0.046). There was no statistically significant differences in length of hospital stay (p = 0.056). Conclusion: The Misgav-Ladach cesarean section reduces operative risk. The adoption and diffusion of this technique to the national level and its effective integration into training curriculas should contribute to reducing maternal morbidity and mortality of abdominal delivery.
Highlights
In Burkina Faso, maternal mortality is high
To analyze the caesarean section prognosis aspects according to Misgav-Ladach versus classical technique in the regional hospital of Banfora
In Africa comparative studies between conventional technique (CC) known and the Misgav-Ladach’s (MLC) have already been made by colleagues in the region confirming the interest of the extension of the Misgav-Ladach-technique because of reduced financial cost and simplicity in surgical procedure with fewer maternal and fetal complications [13] [14] [15] [16]
Summary
In Burkina Faso, maternal mortality is high. It was estimated in 2010 to 341 per 100,000 live births [1]. In order to reduce maternal and fetal risks associated with this procedure, Mr STARK has developed a simplified technique called “Caesarean of Misgav-Ladach” [10] [12]. In Africa comparative studies between conventional technique (CC) known and the Misgav-Ladach’s (MLC) have already been made by colleagues in the region confirming the interest of the extension of the Misgav-Ladach-technique because of reduced financial cost and simplicity in surgical procedure with fewer maternal and fetal complications [13] [14] [15] [16]. It should be noted that the socio-cultural, economic and environmental context of these countries differ from that of Burkina Faso and an extrapolation of the results of these studies would not be possible at first sight
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