Author(s)

Kabunda Mbala John^1*, Balela Kabasu Marie Claire², Kadima Cibangu³, Mulumba Ntumba³, Mbuyi Cipinda Fleur³, Kakesa Tshimanga⁴, Kabamba Nzaji Michel⁵

¹Epidemiology Option, Community Health Section, Higher Institute of Medical Techniques of Mbuji-Mayi, Mbujimayi, Democratic Republic of Congo.
²Public Health Option, Community Health Section, Higher Institute of Medical Techniques of Mbuji-Mayi, Mbujimayi, Democratic Republic of Congo.
³Nursing Section, Higher Institute of Medical Techniques of Mbuji-Mayi, Mbuji-Mayi, Democratic Republic of Congo.
⁴Medecine Faculty, University of Mwene-Ditu, Lomami, Democratic Republic of Congo.
⁵Medecine Faculty, University of Kamina, Kamina, Democratic Republic of Congo.

Goal: Identifying predictors of cesarean delivery in the reference general hospitals of the city of Mbujimayi. Method: Study is analytical case-control study in the city of Mbujimayi precisely in all general hospitals of reference of this city during the period from 15 March to 14 June 2017 with 282 birth. A total of 94 caesarean which were considered as cases and 188 birth vaginally who were considered witnesses or 2 for each case of our series. Predictors of cesarean delivery were highlighted by the no logistic regression. Results: Predictors of cesarean delivery are: la parity of less than 4 [Oraj: 0.269 (0.108 - 0.670)]; prior dystocia [Oraj 11.99 (4.255 to 33.811)]. lSystolic hypertension [Oraj: 12.768 (1.791 - 91.029)]; Emergency evacuation [Oraj: 59.144 (16.053 - 217.904)]; lhas obstructed fetal presentation [Oraj: 10.092 (2.975 - 34.235)]; the abnormal appearance of the amniotic fluid [Oraj: 4.913 (2.035 - 11.862)] and APGAR 5 < 7 [Oraj: 4.133 (1.372 - 12.456)]. Conclusion: Predictors of cesarean delivery are: la parity of less than 4; prior dystocia; lSystolic hypertension; Emergency evacuation; lhas obstructed fetal presentation; the abnormal appearance of the amniotic fluid; and in the fifth minute Apgar < 7.

Child Birth

John, K. , Claire, B. , Cibangu, K. , Ntumba, M. , Fleur, M. , Tshimanga, K. and Michel, K. (2019) Predictive Factors of Childbirth by High in the City of Mbujimayi (Democratic Republic of Congo). Open Access Library Journal, 6, 1-10. doi: 10.4236/oalib.1105912.