Author(s)

Abdoulaye Sissoko^1*, Alassane Traore², Ibrahim Kante³, Amadou Bocoum¹, Soumana Oumar Traore⁴, Seydou Fane¹, Daniel Dembele¹, Aminata Kouma⁵, Mamadou Sima³, Fatoumata K. Tounkara⁶, Amadou Fomba¹, Ibrahima Teguete¹, Youssouf Traore¹, Soumaila Keita³, Niani Moukoro¹

¹Teaching Hospital Gabriel TOURE, Bamako, Mali.
²Teaching Hospital, Bamako, Mali.
³Teaching Hospital Point G, Bamako, Mali.
⁴District Hospital Commune V, Bamako, Mali.
⁵Teaching Hospital Kati, Bamako, Mali.
⁶Research Center CHU of Quebec, University of Laval, Quebec, Canada.

Cesarean operation permits to save the mother and fetus. However, in developing countries as ours, complications related to this cesarean are not to be neglected. It constitutes an important cause of maternal and fetal morbidity and mortality. Here we rapport the experience of our structure about the complications of cesarean. Objectives: The objectives of this study were to study the complications the complications of cesarean section at teaching hospital Gabriel TOURE, Bamako Mali. Materials and methods: We have carried out a cross sectional analytic study from January 1^st 2003 to December 31^st 2013. All the patients who gave birth by cesarean operation in gynecology-obstetric service of teaching hospital Gabriel TOURE were included during this period of study. Descriptive statistics were used, Chi-square test Pearson, and Cochran Armitage test have been used to calculate the P-value of trend. We performed multivariate analyses with a high alpha threshold of 10%, and then logistic regression multivariate. Results: We have registered 28,376 deliveries with 9509 cases of cesarean (33.5%) and a complication cesarean rate of 32% (3049/9509). The main risk factors for cesarean operation completions were adolescence primiparity, obesity, the non-realization of antenatal care, evacuations and co-morbidities. Intraoperative complications were dominated by hemorrhage 8.3% and bladder lesion 1.1%, whereas anemia (58.8%) and parietal infection (21.1%) dominated the postoperative complications table. The evacuation (Odds Ratio adjusted (ORa) = 1.96) as well pre-eclampsia/eclampsia (ORa = 2.34) and the sicle cell disease (ORa = 9.99) were the main influencing factors of material death. Praevia placenta (ORa = 1.75) abruption placenta (ORa = 11.08) and fetal malformation (ORa = 2.21) dominated the influencing factors of perinatal death. Conclusion: The cesarean complications rates were high in our improvement of the quality of antenatal care. The reorganization and revitalization of the reference and against reference system will permit to program some cesarean operation to reduce the morbidity related to caesarean.

Cesarean, Complication, Risk Factors, Morbidity, Mortality

Sissoko, A. , Traore, A. , Kante, I. , Bocoum, A. , Traore, S. , Fane, S. , Dembele, D. , Kouma, A. , Sima, M. , Tounkara, F. , Fomba, A. , Teguete, I. , Traore, Y. , Keita, S. and Moukoro, N. (2020) The Complications of Cesarean Section at Teaching Hospital Gabriel TOURE, Bamako Mali. Open Journal of Obstetrics and Gynecology, 10, 546-557. doi: 10.4236/ojog.2020.1040049.