Caesarean section rate for maternal indication in sub-Saharan Africa: a systematic review

摘要: Summary Introduction Rates of caesarean sections in more-developed countries have been rising since 1970, and vary greatly between less-developed countries. Present estimates, based on data from need to be validated with We estimated the for section maternal indication a population pregnant women west Africa (MOMA survey). Methods The expected rate was calculated obstetric risk MOMA population, rates published work. Findings Three-quarters hospitals sub-Saharan were delivered by reasons. Such intervention needed six main reasons, protracted labour, abruptio placentae, previous section, eclampsia, placenta praevia, malpresentation. Although observed African is 1·3%, our results, combined those work suggest range 3·6–6·5% (median, 5·4%). Interpretation Our method might not strictly accurate, but it simple provides informative findings that can help policy makers health planners design follow up programmes reach optimum rate. Moreover, application this hospital could improve practitioners' assessments these