TITLE:
Emergency Cesarean Section for Teenagers at Yalgado Ouedraogo Teaching Hospital (YOTH), Ouagadougou, Burkina Faso: Frequency, Indications, Maternal and Perinatal Prognosis
AUTHORS:
Yobi Alexis Sawadogo, Boubakar Toure, Sibraogo Kiemtore, Evelyne Komboigo-Savadogo, Dantola Paul Kain, Issa Ouedraogo, Adama Ouattara, Hyacinthe Zamane, Ali Ouedraogo, Blandine Thieba
KEYWORDS:
Caesarean Section, Emergency, Teenagers, Indications, Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.11,
September
4,
2018
ABSTRACT: Objective:
To study emergency cesarean section in teenagers with the goal of reducing
morbidity and maternal-fetal mortality. Methods: This was a descriptive
cross-sectional study with prospective collection of data on 248 cases
collected from July 1st to December 31st, 2016. Results: The incidence of cesarean
section in teenagers was 56.4%. The average age was 18 ± 0.4 years old. The
vast majority were primiparous (92.7%). The main indications for emergency
Caesarean section were: pre-eclampsia and its complications (20.2%), acute
fetal distress (18.5), pre-rupture syndrome (14.1%) and bone dystocia (11.7%).
The maternal mortality rate was 1.6% and perinatal mortality was 134 per 1000
live births. Conclusion: The rate of caesarean section is high at Yalgado OUéDRAOGO Teaching Hospital of Ouagadougou. Postoperative complications are sometimes serious and compromise
the maternal and fetal outcome. There is a need for increased surveillance of
all pregnant and recently delivered women to reduce maternal and perinatal
mortality in teenagers.