Caesarean Sections: Experience of a Tertiary Hospital in a sub-Saharan Country

Biological & Medical Sciences

This study aims to assess indications, maternal and neonatal outcomes, and sociodemographic factors related to cesarean sections, focusing on 100 cases managed in a tertiary hospital in Mauritania. Conducted over a 9-month period, this study provides insight into the clinical and social dynamics surrounding cesarean procedures in a sub-Saharan region. The most common indications for cesarean section were dystocia (30%), fetal distress (25%), and previous cesarean sections (12%). The majority of patients were aged 19–30 years, with a high proportion of multiparous women (45%). Postoperative maternal complications, including haemorrhage with one case of haemostasis hysterectomy, were observed in 8% of cases, while neonatal complications, such as low birth weight (20%) and transfer to intensive care (12%), were found. Socioeconomic factors influenced maternal and neonatal outcomes. This study highlights the need to improve antenatal care and optimise resource allocation for safe delivery practices in sub-Saharan African countries. It calls for policy interventions and improved health infrastructure to address the rising rates of caesarean sections and associated complications, thereby contributing to better maternal and neonatal health outcomes in the region.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.