TITLE:
Indications for Cesarean Section in a Tertiary Center in Togo
AUTHORS:
Ameyo Ayoko Ketevi, Dédé Régine Diane Ajavon, Kodjo Dela Agbewornu, Baguilane Douaguibe, Akila Bassowa, Bidilukinu Katende, Alessi Andele, Kodjo Fiagnon, Abdoul Samadou Aboubakari, Koffi Akpadza
KEYWORDS:
Caesarian Section, Indications, Togo
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.4,
April
19,
2022
ABSTRACT: Objectives: The objective of this study was to evaluate the indications for cesarean
section (CS) and some related characteristics in Sylvanus Olympio University
Hospital Center in Togo. Methods: We analyzed all CS performed from
January 1, 2020 to December 31, 2020. Results: Total number of 8676
women were delivered, of which 4583 were by CS (52.8%), emergent vs. planned;
69.6% vs. 30.4%. Acute fetal asphyxia was the leading indication (25.4%),
followed by pre-eclampsia/eclampsia (17.3%), and pelvic anomalies (12.2%).
Analysis showed that 51% of cases had definite indications for CS, whereas in
remaining cases, CS was performed for non-definite-indications. Conclusion: CS should be done based on definite indications. We must take an effort to educate this in
this area, which, avoiding unnecessary CS, might reduce the CS rate in this
area.