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Analysis of Cesarean Section Indications According to the Robson Classification in Surgical Maternities in Dakar, Senegal: About 9185 Cases

Received: 29 August 2020     Accepted: 17 September 2020     Published: 30 September 2020
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Abstract

Background: The caesarean section rate remains relatively high in the surgical maternity hospitals in Dakar and the indications for scarred uterus are still high. The management of induced prematurity for maternal pathologies still poses real problems in Dakar. The aim of our study is to compare the Caesarean section rate in the different surgical facilities in Dakar. We used the ROBSON's classification to evaluate the indications for Caesarean section in surgical maternity hospitals in Dakar. Methods: This was a descriptive and analytical prospective study which took place from January 1st to December 31st 2019 in 10 surgical maternity hospitals in Dakar (University hospital Aristide Le Dantec, National Hospital Center of Pikine, Municipal Hospital Center Abass NDAO, Principal Hospital of Dakar, Youssou Mbargane DIOP Hospital in Rufisque, Ouakam Military Hospital, Grand Yoff General Hospital, Gaspard Kamara Health Center, Nabil Choucair Health Center, Roi Baudoin Hospital Center) and which included all patients who delivered by caesarean section. Indications for Caesarean section were classified according to ROBSON's 10 group classification. The parameters studied were age, frequency, indications for Caesarean section in these surgical maternity hospitals and, Apgar score at five minutes and, birth weight. Data collection was done through birth records and registers, on-call diaries and integrated into a database developed with Sphinx software. Statistical analysis was done using SPSS software. Results: During the period of the study we recorded 35287 deliveries with 9185 Caesarean sections, i.e. a frequency of 26%. The average age of the patients was 29 years. Indications for Caesarean section in Dakar surgical maternity hospitals were dominated by group 5 (28.4%) according to Robson's classification. Group 10 in Robson's classification was predominant in the maternity hospitals of University hospital Aristide Le Dantec (23.3%) and Municipal Hospital Center Abass NDAO (22.5%). Group 5 was found in the maternity units of the Gaspard Kamara Health Center (32.3%), Nabil Choucair Health Center (39%), Principal Hospital of Dakar (26.4%), Youssou Mbargane Hospital Diop Hospital in Rufisque (31.4%), Roi Baudoin Hospital Center (29.8%), Grand Yoff General Hospital (32%), Ouakam Military Hospital (34.2%), and, National Hospital Center of Pikine (27.9%). 4 facilities had a caesarean section rate higher than 30% (University hospital Aristide Le Dantec 35.6%, Youssou Mbargane Diop Hospital in Rufisque 32.03%, Municipal Hospital Center Abass Ndao 32.01% and, National Hospital Center of Pikine 30.45%). The average birth weight of new-borns was 2943 grams, with an average Apgar score of 8 at the fifth minute. The post-op care was simple. Conclusion: The caesarean section rate remains relatively high in the surgical maternity hospitals in Dakar and the indications for scarred uterus are still high.

Published in Journal of Gynecology and Obstetrics (Volume 8, Issue 5)
DOI 10.11648/j.jgo.20200805.12
Page(s) 135-140
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Caesarean Section, ROBSON Classification, Maternity, Dakar

References
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[17] DiMaio H, Edwards RK, Euliano TY, Treloar RW, Cruz AC. Vaginal birth after cesarean delivery: an historic cohort cost analysis. Am J Obstet Gynecol 2002; 186: 890-2.
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Cite This Article
  • APA Style

    Taliana Stephie Gondjout, Omar Gassama, Mohamed Tété Diadhiou, Marie Edouard Faye Dieme, Mamour Gueye, et al. (2020). Analysis of Cesarean Section Indications According to the Robson Classification in Surgical Maternities in Dakar, Senegal: About 9185 Cases. Journal of Gynecology and Obstetrics, 8(5), 135-140. https://doi.org/10.11648/j.jgo.20200805.12

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    ACS Style

    Taliana Stephie Gondjout; Omar Gassama; Mohamed Tété Diadhiou; Marie Edouard Faye Dieme; Mamour Gueye, et al. Analysis of Cesarean Section Indications According to the Robson Classification in Surgical Maternities in Dakar, Senegal: About 9185 Cases. J. Gynecol. Obstet. 2020, 8(5), 135-140. doi: 10.11648/j.jgo.20200805.12

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    AMA Style

    Taliana Stephie Gondjout, Omar Gassama, Mohamed Tété Diadhiou, Marie Edouard Faye Dieme, Mamour Gueye, et al. Analysis of Cesarean Section Indications According to the Robson Classification in Surgical Maternities in Dakar, Senegal: About 9185 Cases. J Gynecol Obstet. 2020;8(5):135-140. doi: 10.11648/j.jgo.20200805.12

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  • @article{10.11648/j.jgo.20200805.12,
      author = {Taliana Stephie Gondjout and Omar Gassama and Mohamed Tété Diadhiou and Marie Edouard Faye Dieme and Mamour Gueye and Abdoul Aziz Diouf and Pape Malick Ngom and Saidou Diallo and Raymond Alipio and Dieynaba Ndao and Sedouma Yatera and Alphousseyni Gaye and Daouda Ndour and Youanidou Wane Dia and Philippe Marc Moreira and Alassane Diouf and Jean Charles Moreau},
      title = {Analysis of Cesarean Section Indications According to the Robson Classification in Surgical Maternities in Dakar, Senegal: About 9185 Cases},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {8},
      number = {5},
      pages = {135-140},
      doi = {10.11648/j.jgo.20200805.12},
      url = {https://doi.org/10.11648/j.jgo.20200805.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200805.12},
      abstract = {Background: The caesarean section rate remains relatively high in the surgical maternity hospitals in Dakar and the indications for scarred uterus are still high. The management of induced prematurity for maternal pathologies still poses real problems in Dakar. The aim of our study is to compare the Caesarean section rate in the different surgical facilities in Dakar. We used the ROBSON's classification to evaluate the indications for Caesarean section in surgical maternity hospitals in Dakar. Methods: This was a descriptive and analytical prospective study which took place from January 1st to December 31st 2019 in 10 surgical maternity hospitals in Dakar (University hospital Aristide Le Dantec, National Hospital Center of Pikine, Municipal Hospital Center Abass NDAO, Principal Hospital of Dakar, Youssou Mbargane DIOP Hospital in Rufisque, Ouakam Military Hospital, Grand Yoff General Hospital, Gaspard Kamara Health Center, Nabil Choucair Health Center, Roi Baudoin Hospital Center) and which included all patients who delivered by caesarean section. Indications for Caesarean section were classified according to ROBSON's 10 group classification. The parameters studied were age, frequency, indications for Caesarean section in these surgical maternity hospitals and, Apgar score at five minutes and, birth weight. Data collection was done through birth records and registers, on-call diaries and integrated into a database developed with Sphinx software. Statistical analysis was done using SPSS software. Results: During the period of the study we recorded 35287 deliveries with 9185 Caesarean sections, i.e. a frequency of 26%. The average age of the patients was 29 years. Indications for Caesarean section in Dakar surgical maternity hospitals were dominated by group 5 (28.4%) according to Robson's classification. Group 10 in Robson's classification was predominant in the maternity hospitals of University hospital Aristide Le Dantec (23.3%) and Municipal Hospital Center Abass NDAO (22.5%). Group 5 was found in the maternity units of the Gaspard Kamara Health Center (32.3%), Nabil Choucair Health Center (39%), Principal Hospital of Dakar (26.4%), Youssou Mbargane Hospital Diop Hospital in Rufisque (31.4%), Roi Baudoin Hospital Center (29.8%), Grand Yoff General Hospital (32%), Ouakam Military Hospital (34.2%), and, National Hospital Center of Pikine (27.9%). 4 facilities had a caesarean section rate higher than 30% (University hospital Aristide Le Dantec 35.6%, Youssou Mbargane Diop Hospital in Rufisque 32.03%, Municipal Hospital Center Abass Ndao 32.01% and, National Hospital Center of Pikine 30.45%). The average birth weight of new-borns was 2943 grams, with an average Apgar score of 8 at the fifth minute. The post-op care was simple. Conclusion: The caesarean section rate remains relatively high in the surgical maternity hospitals in Dakar and the indications for scarred uterus are still high.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Analysis of Cesarean Section Indications According to the Robson Classification in Surgical Maternities in Dakar, Senegal: About 9185 Cases
    AU  - Taliana Stephie Gondjout
    AU  - Omar Gassama
    AU  - Mohamed Tété Diadhiou
    AU  - Marie Edouard Faye Dieme
    AU  - Mamour Gueye
    AU  - Abdoul Aziz Diouf
    AU  - Pape Malick Ngom
    AU  - Saidou Diallo
    AU  - Raymond Alipio
    AU  - Dieynaba Ndao
    AU  - Sedouma Yatera
    AU  - Alphousseyni Gaye
    AU  - Daouda Ndour
    AU  - Youanidou Wane Dia
    AU  - Philippe Marc Moreira
    AU  - Alassane Diouf
    AU  - Jean Charles Moreau
    Y1  - 2020/09/30
    PY  - 2020
    N1  - https://doi.org/10.11648/j.jgo.20200805.12
    DO  - 10.11648/j.jgo.20200805.12
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 135
    EP  - 140
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20200805.12
    AB  - Background: The caesarean section rate remains relatively high in the surgical maternity hospitals in Dakar and the indications for scarred uterus are still high. The management of induced prematurity for maternal pathologies still poses real problems in Dakar. The aim of our study is to compare the Caesarean section rate in the different surgical facilities in Dakar. We used the ROBSON's classification to evaluate the indications for Caesarean section in surgical maternity hospitals in Dakar. Methods: This was a descriptive and analytical prospective study which took place from January 1st to December 31st 2019 in 10 surgical maternity hospitals in Dakar (University hospital Aristide Le Dantec, National Hospital Center of Pikine, Municipal Hospital Center Abass NDAO, Principal Hospital of Dakar, Youssou Mbargane DIOP Hospital in Rufisque, Ouakam Military Hospital, Grand Yoff General Hospital, Gaspard Kamara Health Center, Nabil Choucair Health Center, Roi Baudoin Hospital Center) and which included all patients who delivered by caesarean section. Indications for Caesarean section were classified according to ROBSON's 10 group classification. The parameters studied were age, frequency, indications for Caesarean section in these surgical maternity hospitals and, Apgar score at five minutes and, birth weight. Data collection was done through birth records and registers, on-call diaries and integrated into a database developed with Sphinx software. Statistical analysis was done using SPSS software. Results: During the period of the study we recorded 35287 deliveries with 9185 Caesarean sections, i.e. a frequency of 26%. The average age of the patients was 29 years. Indications for Caesarean section in Dakar surgical maternity hospitals were dominated by group 5 (28.4%) according to Robson's classification. Group 10 in Robson's classification was predominant in the maternity hospitals of University hospital Aristide Le Dantec (23.3%) and Municipal Hospital Center Abass NDAO (22.5%). Group 5 was found in the maternity units of the Gaspard Kamara Health Center (32.3%), Nabil Choucair Health Center (39%), Principal Hospital of Dakar (26.4%), Youssou Mbargane Hospital Diop Hospital in Rufisque (31.4%), Roi Baudoin Hospital Center (29.8%), Grand Yoff General Hospital (32%), Ouakam Military Hospital (34.2%), and, National Hospital Center of Pikine (27.9%). 4 facilities had a caesarean section rate higher than 30% (University hospital Aristide Le Dantec 35.6%, Youssou Mbargane Diop Hospital in Rufisque 32.03%, Municipal Hospital Center Abass Ndao 32.01% and, National Hospital Center of Pikine 30.45%). The average birth weight of new-borns was 2943 grams, with an average Apgar score of 8 at the fifth minute. The post-op care was simple. Conclusion: The caesarean section rate remains relatively high in the surgical maternity hospitals in Dakar and the indications for scarred uterus are still high.
    VL  - 8
    IS  - 5
    ER  - 

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Author Information
  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal

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