Factors Associated with Cesarean Section in Primiparous Women at the Bernard Kouchner Communal Medical Centre in Coronthie, Conakry, Guinea

Leno Daniel William Athanase; Conte Ibrahima; Tolno Tamba Julien; Magassouba Mamoudou; Lamah David; Pindou Rence Carla Theresa; Sy Telly

doi:doi:10.11648/j.jgo.20241205.14

Research Article |

| Peer-Reviewed

Factors Associated with Cesarean Section in Primiparous Women at the Bernard Kouchner Communal Medical Centre in Coronthie, Conakry, Guinea

Leno Daniel William Athanase, Conte Ibrahima^*

, Tolno Tamba Julien, Magassouba Mamoudou, Lamah David, Pindou Rence Carla Theresa, Sy Telly

Published in Journal of Gynecology and Obstetrics (Volume 12, Issue 5)

Received: 4 August 2024 Accepted: 29 September 2024 Published: 18 October 2024

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Objective: to analyse the factors associated with Caesarean section in primiparous women. Methods: This was a 12-month (1 January to 31 December 2022) retrospective case-control study conducted at the Bernard Kouchner Communal Medical Centre (CMC) in Coronthie. Correctly completed records of primiparous women with a singleton pregnancy were included, with a live foetus in cephalic presentation having been delivered (by Caesarean section or vaginal delivery) from 28 weeks' gestation with a weight ≥ 1000 g. The "cases" consisted of records from primiparous women who had undergone caesarean section. The "controls" were composed by matching each "case" with the record of a patient who had undergone vaginal delivery, according to the order in the delivery register. Socio-demographic, clinical and obstetric characteristics were analysed and compared. A univariate analysis comparing cases to controls and a multivariate analysis looking for an association between maternal determinants were performed. Results: The prevalence of caesarean section in primiparous women was 31%. The average age of primiparous women was 24 ± 5 years. The 20-24 age group was the most represented in both groups, with 35% of caesareans and 42% of vaginal deliveries. The factors significantly associated with caesarean section in primiparous women were advanced maternal age (OR=1.13 CI=1.07-1.20), prolonged pregnancy (OR=25.1 CI =3.23 - 5.40), arterial hypertension (OR=4.98 CI= 2.24 -11.6), premature rupture of membranes (OR= 4.25 CI: 2.27 - 8.05), haemorrhagic complications (OR=8.56 CI=3.05 - 26.6), foetal distress (OR=68.4 CI=18.3 - 45.1) and macrosomia (OR=12.7 CI= 4.83 - 38.6). Conclusion: correct antenatal care and delivery by qualified personnel could help prevent some of these factors and thus reduce the caesarean section rate among primiparous women in our health facility.

Published in	Journal of Gynecology and Obstetrics (Volume 12, Issue 5)
DOI	10.11648/j.jgo.20241205.14
Page(s)	110-117
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), 2024. Published by Science Publishing Group

Keywords

Associated Factors, Caesarean Section, Primipara, Coronthie, Conakry

References

[1]	World Health Organization. World Health Organization recommendations on non-clinical interventions to reduce unnecessary caesarean section, Geneva, Switzerland: World Health Organization; 2018.
[2]	Vokaer R. Traité d’obstétrique [A treatise on obstetrics] Tome II Masson Paris 1986, 340-66.
[3]	Akilimali PZ, Nzau NE. Les prédicteurs de l'accouchement par césarienne. Hopital général de reference de kinkanda à matadi. République Démocratique du Congo [Predictors of caesarean delivery. Kinkanda general reference hospital in Matadi. Democratic Republic of Congo]. Mali médical 2015; (2): P8.
[4]	Delbrouque L. Facteurs de risque de césarienne chez une primipare en travail spontané. Université de Picardie Jules Verne Gynécologie et obstétrique. France [Risk factors for caesarean section in primiparous women in spontaneous labour. Université de Picardie Jules Verne Gynaecology and Obstetrics. France]. HAL. 2022 (3) P: 49.
[5]	Munan R, Kakudji Y, Nsambi J, Mukuku O, Maleya A, Kinenkinda X, et al. Accouchement chez la primipare à Lubumbashi: pronostic maternel et périnatal. République démocratique du Congo [Childbirth in primiparous women in Lubumbashi: maternal and perinatal prognosis. Democratic Republic of Congo]. Pan Afr Med J 2017; P: 1-12. https://doi.org/10.11604/pamj.2017.28.77.13712
[6]	Lasserre Nathalie. La césarienne en urgence chez la femme primipare: le vécu de l'accouchement, les relations mère-enfant et l'accompagnement par les professionnels de santé, France [Emergency caesarean section for primiparous women: experience of childbirth, mother-child relationships and support from healthcare professionals, France] HAL. Sept. 2018; (5) P: 61.
[7]	Dumont A, Guilmoto CZ. Trop et pas assez à la fois : le double fardeau de la césarienne [Too much and not enough at the same time: the double burden of a caesarean section]: Popul Sociétés France. 2020; (581): 1-4. https://doi.org/10.3917/popsoc.581.0001
[8]	Zelli P, Boussat B, Wetzel A, Ronin C, Pons JC, Sergent F. Indications des premières césariennes dans un centre hospitalo-universitaire régional et stratégies raisonnables pour les diminuer [Indications for first caesarean sections in a regional university hospital centre and reasonable strategies for reducing them]. J Gynécologie Obstétrique Biol Reprod. 2016 oct.; 45(8): 841-8. https://doi.org/10.1016/j.jgyn.2016.06.001
[9]	Keita N., Diallo FD., Gandaho E., Leno D. W. A La césarienne en Afrique exemple de la Guinée. CHU de Conakry. Hôpital national Donka, service de gynécologie et obstétrique [Caesarean section in Africa - example of Guinea. Conakry University Hospital. Donka National Hospital, Department of Gynaecology and Obstetrics]. 38ème journées nationales. Paris 2014. P: 259 (1).
[10]	Pierre de Trogoff. Facteurs associés au taux de césarienne: étude rétrospective comparative entre les maternités du Nord-Pas-de-Calais. Université catholique de Lille, Faculté de médecine et maïeutique, Filière maïeutique. Gynécologie et obstétrique [Factors associated with caesarean section rates: a retrospective comparative study of maternity units in the Nord-Pas-de-Calais region. Université catholique de Lille, Faculté de médecine et maïeu-tique, Filière maïeutique. Gynaecology and obstetrics]; 2016. HAL Id: ffdumas-01365596.
[11]	Acharya K, Paudel YR. Trend and Sociodemographic Correlates of Cesarean Section Utilization in Nepal: Evidence from Demographic and Health Surveys 2006-2016. BioMed Research International. 2021 Mai 4: e 8888267. https://doi.org/10.1155/2021/8888267
[12]	Zgheib SM, Kacim M, Kostev K. Prevalence of and risk factors associated with cesarean section in Lebanon — A retrospective study based on a sample of 29,270 women. Women and Birth. 2017 déc 1; 30(6): e 265-71. https://doi.org/10.1016/j.wombi.2017.05.003
[13]	Mongbo V, Ouendo EM, De Brouwere V, Alexander S, Dujardin B, Makoutodé M, Zhang WH. La césarienne de qualité: étude transversale dans 12 hôpitaux au Benin [Quality caesarean section: cross-sectional study in 12 hospitals in Benin]. Revue d’Épidémiologie et de Santé Publique. 2016 sept 1; 64(4): 281-93. https://doi.org/10.1016/j.respe.2016.02.009
[14]	Gamble JA, Creedy DK. Women’s Preference for a Cesarean Section: Incidence and Associated Factors. Birth. Australia 2001; 28(2): 101-10. https://doi.org/10.1046/j.1523-536x.2001.00101.x
[15]	Ochieng Arunda M, Agardh A, Asamoah BO. Cesarean delivery and associated socioeconomic factors and neonatal survival outcome in Kenya and Tanzania: analysis of national survey data. Global Health Action. 2020 déc 31; 13(1): 1748403. https://doi.org/10.1080/16549716.2020.1748403

Cite This Article

Plain Text BibTeX RIS

APA Style

Athanase, L. D. W., Ibrahima, C., Julien, T. T., Mamoudou, M., David, L., et al. (2024). Factors Associated with Cesarean Section in Primiparous Women at the Bernard Kouchner Communal Medical Centre in Coronthie, Conakry, Guinea. Journal of Gynecology and Obstetrics, 12(5), 110-117. https://doi.org/10.11648/j.jgo.20241205.14

Copy | Download

ACS Style

Athanase, L. D. W.; Ibrahima, C.; Julien, T. T.; Mamoudou, M.; David, L., et al. Factors Associated with Cesarean Section in Primiparous Women at the Bernard Kouchner Communal Medical Centre in Coronthie, Conakry, Guinea. J. Gynecol. Obstet. 2024, 12(5), 110-117. doi: 10.11648/j.jgo.20241205.14

Copy | Download

AMA Style

Athanase LDW, Ibrahima C, Julien TT, Mamoudou M, David L, et al. Factors Associated with Cesarean Section in Primiparous Women at the Bernard Kouchner Communal Medical Centre in Coronthie, Conakry, Guinea. J Gynecol Obstet. 2024;12(5):110-117. doi: 10.11648/j.jgo.20241205.14

Copy | Download

@article{10.11648/j.jgo.20241205.14,
  author = {Leno Daniel William Athanase and Conte Ibrahima and Tolno Tamba Julien and Magassouba Mamoudou and Lamah David and Pindou Rence Carla Theresa and Sy Telly},
  title = {Factors Associated with Cesarean Section in Primiparous Women at the Bernard Kouchner Communal Medical Centre in Coronthie, Conakry, Guinea
},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {12},
  number = {5},
  pages = {110-117},
  doi = {10.11648/j.jgo.20241205.14},
  url = {https://doi.org/10.11648/j.jgo.20241205.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20241205.14},
  abstract = {Objective: to analyse the factors associated with Caesarean section in primiparous women. Methods: This was a 12-month (1 January to 31 December 2022) retrospective case-control study conducted at the Bernard Kouchner Communal Medical Centre (CMC) in Coronthie. Correctly completed records of primiparous women with a singleton pregnancy were included, with a live foetus in cephalic presentation having been delivered (by Caesarean section or vaginal delivery) from 28 weeks' gestation with a weight ≥ 1000 g. The "cases" consisted of records from primiparous women who had undergone caesarean section. The "controls" were composed by matching each "case" with the record of a patient who had undergone vaginal delivery, according to the order in the delivery register. Socio-demographic, clinical and obstetric characteristics were analysed and compared. A univariate analysis comparing cases to controls and a multivariate analysis looking for an association between maternal determinants were performed. Results: The prevalence of caesarean section in primiparous women was 31%. The average age of primiparous women was 24 ± 5 years. The 20-24 age group was the most represented in both groups, with 35% of caesareans and 42% of vaginal deliveries. The factors significantly associated with caesarean section in primiparous women were advanced maternal age (OR=1.13 CI=1.07-1.20), prolonged pregnancy (OR=25.1 CI =3.23 - 5.40), arterial hypertension (OR=4.98 CI= 2.24 -11.6), premature rupture of membranes (OR= 4.25 CI: 2.27 - 8.05), haemorrhagic complications (OR=8.56 CI=3.05 - 26.6), foetal distress (OR=68.4 CI=18.3 - 45.1) and macrosomia (OR=12.7 CI= 4.83 - 38.6). Conclusion: correct antenatal care and delivery by qualified personnel could help prevent some of these factors and thus reduce the caesarean section rate among primiparous women in our health facility.
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - Factors Associated with Cesarean Section in Primiparous Women at the Bernard Kouchner Communal Medical Centre in Coronthie, Conakry, Guinea

AU  - Leno Daniel William Athanase
AU  - Conte Ibrahima
AU  - Tolno Tamba Julien
AU  - Magassouba Mamoudou
AU  - Lamah David
AU  - Pindou Rence Carla Theresa
AU  - Sy Telly
Y1  - 2024/10/18
PY  - 2024
N1  - https://doi.org/10.11648/j.jgo.20241205.14
DO  - 10.11648/j.jgo.20241205.14
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 110
EP  - 117
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20241205.14
AB  - Objective: to analyse the factors associated with Caesarean section in primiparous women. Methods: This was a 12-month (1 January to 31 December 2022) retrospective case-control study conducted at the Bernard Kouchner Communal Medical Centre (CMC) in Coronthie. Correctly completed records of primiparous women with a singleton pregnancy were included, with a live foetus in cephalic presentation having been delivered (by Caesarean section or vaginal delivery) from 28 weeks' gestation with a weight ≥ 1000 g. The "cases" consisted of records from primiparous women who had undergone caesarean section. The "controls" were composed by matching each "case" with the record of a patient who had undergone vaginal delivery, according to the order in the delivery register. Socio-demographic, clinical and obstetric characteristics were analysed and compared. A univariate analysis comparing cases to controls and a multivariate analysis looking for an association between maternal determinants were performed. Results: The prevalence of caesarean section in primiparous women was 31%. The average age of primiparous women was 24 ± 5 years. The 20-24 age group was the most represented in both groups, with 35% of caesareans and 42% of vaginal deliveries. The factors significantly associated with caesarean section in primiparous women were advanced maternal age (OR=1.13 CI=1.07-1.20), prolonged pregnancy (OR=25.1 CI =3.23 - 5.40), arterial hypertension (OR=4.98 CI= 2.24 -11.6), premature rupture of membranes (OR= 4.25 CI: 2.27 - 8.05), haemorrhagic complications (OR=8.56 CI=3.05 - 26.6), foetal distress (OR=68.4 CI=18.3 - 45.1) and macrosomia (OR=12.7 CI= 4.83 - 38.6). Conclusion: correct antenatal care and delivery by qualified personnel could help prevent some of these factors and thus reduce the caesarean section rate among primiparous women in our health facility.

VL  - 12
IS  - 5
ER  -

Copy | Download

Author Information

Leno Daniel William Athanase

Department of Obstetrics and Gynaecology, The Bernard Kouchner Communal Medical Centre, Conakry, Guinea; Department of Obstetrics and Gynaecology, Donka National Hospital, University Hospital Centre, Conakry, Guinea

Contact Email
Conte Ibrahima

Department of Obstetrics and Gynaecology, Ignace Deen National Hospital, University Hospital Centre, Conakry, Guinea

Contact Email

http://orcid.org/0009-0007-5466-8574
Tolno Tamba Julien

Department of Obstetrics and Gynaecology, The Bernard Kouchner Communal Medical Centre, Conakry, Guinea

Contact Email
Magassouba Mamoudou

Department of Obstetrics and Gynaecology, The Bernard Kouchner Communal Medical Centre, Conakry, Guinea; Department of Obstetrics and Gynaecology, Donka National Hospital, University Hospital Centre, Conakry, Guinea

Contact Email
Lamah David

Department of Obstetrics and Gynaecology, Ignace Deen National Hospital, University Hospital Centre, Conakry, Guinea

Contact Email
Pindou Rence Carla Theresa

Department of Obstetrics and Gynaecology, The Bernard Kouchner Communal Medical Centre, Conakry, Guinea

Contact Email
Sy Telly

Department of Obstetrics and Gynaecology, Ignace Deen National Hospital, University Hospital Centre, Conakry, Guinea

Contact Email

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Athanase, L. D. W., Ibrahima, C., Julien, T. T., Mamoudou, M., David, L., et al. (2024). Factors Associated with Cesarean Section in Primiparous Women at the Bernard Kouchner Communal Medical Centre in Coronthie, Conakry, Guinea. Journal of Gynecology and Obstetrics, 12(5), 110-117. https://doi.org/10.11648/j.jgo.20241205.14

Copy | Download

ACS Style

Athanase, L. D. W.; Ibrahima, C.; Julien, T. T.; Mamoudou, M.; David, L., et al. Factors Associated with Cesarean Section in Primiparous Women at the Bernard Kouchner Communal Medical Centre in Coronthie, Conakry, Guinea. J. Gynecol. Obstet. 2024, 12(5), 110-117. doi: 10.11648/j.jgo.20241205.14

Copy | Download

AMA Style

Athanase LDW, Ibrahima C, Julien TT, Mamoudou M, David L, et al. Factors Associated with Cesarean Section in Primiparous Women at the Bernard Kouchner Communal Medical Centre in Coronthie, Conakry, Guinea. J Gynecol Obstet. 2024;12(5):110-117. doi: 10.11648/j.jgo.20241205.14

Copy | Download

@article{10.11648/j.jgo.20241205.14,
  author = {Leno Daniel William Athanase and Conte Ibrahima and Tolno Tamba Julien and Magassouba Mamoudou and Lamah David and Pindou Rence Carla Theresa and Sy Telly},
  title = {Factors Associated with Cesarean Section in Primiparous Women at the Bernard Kouchner Communal Medical Centre in Coronthie, Conakry, Guinea
},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {12},
  number = {5},
  pages = {110-117},
  doi = {10.11648/j.jgo.20241205.14},
  url = {https://doi.org/10.11648/j.jgo.20241205.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20241205.14},
  abstract = {Objective: to analyse the factors associated with Caesarean section in primiparous women. Methods: This was a 12-month (1 January to 31 December 2022) retrospective case-control study conducted at the Bernard Kouchner Communal Medical Centre (CMC) in Coronthie. Correctly completed records of primiparous women with a singleton pregnancy were included, with a live foetus in cephalic presentation having been delivered (by Caesarean section or vaginal delivery) from 28 weeks' gestation with a weight ≥ 1000 g. The "cases" consisted of records from primiparous women who had undergone caesarean section. The "controls" were composed by matching each "case" with the record of a patient who had undergone vaginal delivery, according to the order in the delivery register. Socio-demographic, clinical and obstetric characteristics were analysed and compared. A univariate analysis comparing cases to controls and a multivariate analysis looking for an association between maternal determinants were performed. Results: The prevalence of caesarean section in primiparous women was 31%. The average age of primiparous women was 24 ± 5 years. The 20-24 age group was the most represented in both groups, with 35% of caesareans and 42% of vaginal deliveries. The factors significantly associated with caesarean section in primiparous women were advanced maternal age (OR=1.13 CI=1.07-1.20), prolonged pregnancy (OR=25.1 CI =3.23 - 5.40), arterial hypertension (OR=4.98 CI= 2.24 -11.6), premature rupture of membranes (OR= 4.25 CI: 2.27 - 8.05), haemorrhagic complications (OR=8.56 CI=3.05 - 26.6), foetal distress (OR=68.4 CI=18.3 - 45.1) and macrosomia (OR=12.7 CI= 4.83 - 38.6). Conclusion: correct antenatal care and delivery by qualified personnel could help prevent some of these factors and thus reduce the caesarean section rate among primiparous women in our health facility.
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - Factors Associated with Cesarean Section in Primiparous Women at the Bernard Kouchner Communal Medical Centre in Coronthie, Conakry, Guinea

AU  - Leno Daniel William Athanase
AU  - Conte Ibrahima
AU  - Tolno Tamba Julien
AU  - Magassouba Mamoudou
AU  - Lamah David
AU  - Pindou Rence Carla Theresa
AU  - Sy Telly
Y1  - 2024/10/18
PY  - 2024
N1  - https://doi.org/10.11648/j.jgo.20241205.14
DO  - 10.11648/j.jgo.20241205.14
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 110
EP  - 117
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20241205.14
AB  - Objective: to analyse the factors associated with Caesarean section in primiparous women. Methods: This was a 12-month (1 January to 31 December 2022) retrospective case-control study conducted at the Bernard Kouchner Communal Medical Centre (CMC) in Coronthie. Correctly completed records of primiparous women with a singleton pregnancy were included, with a live foetus in cephalic presentation having been delivered (by Caesarean section or vaginal delivery) from 28 weeks' gestation with a weight ≥ 1000 g. The "cases" consisted of records from primiparous women who had undergone caesarean section. The "controls" were composed by matching each "case" with the record of a patient who had undergone vaginal delivery, according to the order in the delivery register. Socio-demographic, clinical and obstetric characteristics were analysed and compared. A univariate analysis comparing cases to controls and a multivariate analysis looking for an association between maternal determinants were performed. Results: The prevalence of caesarean section in primiparous women was 31%. The average age of primiparous women was 24 ± 5 years. The 20-24 age group was the most represented in both groups, with 35% of caesareans and 42% of vaginal deliveries. The factors significantly associated with caesarean section in primiparous women were advanced maternal age (OR=1.13 CI=1.07-1.20), prolonged pregnancy (OR=25.1 CI =3.23 - 5.40), arterial hypertension (OR=4.98 CI= 2.24 -11.6), premature rupture of membranes (OR= 4.25 CI: 2.27 - 8.05), haemorrhagic complications (OR=8.56 CI=3.05 - 26.6), foetal distress (OR=68.4 CI=18.3 - 45.1) and macrosomia (OR=12.7 CI= 4.83 - 38.6). Conclusion: correct antenatal care and delivery by qualified personnel could help prevent some of these factors and thus reduce the caesarean section rate among primiparous women in our health facility.

VL  - 12
IS  - 5
ER  -

Copy | Download