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

Taliana Stephie Gondjout; Omar Gassama; Mohamed Tété Diadhiou; Marie Edouard Faye Dieme; Mamour Gueye; Abdoul Aziz Diouf; Pape Malick Ngom; Saidou Diallo; Raymond Alipio; Dieynaba Ndao; Sedouma Yatera; Alphousseyni Gaye; Daouda Ndour; Youanidou Wane Dia; Philippe Marc Moreira; Alassane Diouf; Jean Charles Moreau

doi:doi:10.11648/j.jgo.20200805.12

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

Taliana Stephie Gondjout, Omar Gassama, Mohamed Tété Diadhiou, Marie Edouard Faye Dieme, Mamour Gueye, Abdoul Aziz Diouf, Pape Malick Ngom, Saidou Diallo, Raymond Alipio, Dieynaba Ndao, Sedouma Yatera, Alphousseyni Gaye, Daouda Ndour, Youanidou Wane Dia, Philippe Marc Moreira, Alassane Diouf, Jean Charles Moreau

Published in Journal of Gynecology and Obstetrics (Volume 8, Issue 5)

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 1^st to December 31^st 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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[2]	Robson MS Classification of caesarean sections. Fetal and Maternal Medicine Review 2001; 12: 23-39.
[3]	Brennan D, Robson M, Murphy M, O’Herlihy C Comparative analysis of international cesarean delivery rates using 10 group classification in spontaneous labor. Am J Obstet Gynecol 2009; 201: 308 [e1-e8].
[4]	Delbaere I, Cammu H, Mertins E, Tency I, Martens G, Temmerman M. Limiting the cesarean section rate (in low risk pregnancies is key to lowing the trend of increased abdominal delivery). BMC Pregnancy Child birth, An observational Study 2012; 12: 3p.
[5]	Enquête Démographique et de Santé Continue (EDS-Continue) 2014. Agence Nationale de la Statistique et de la Démographie (ANSD) Dakar, Sénégal, 2015, 74p.
[6]	Mbungu MR, Ntela MJ, Kahindo MP. Fréquence des césariennes selon la classification de Robson dans 3 maternités de la ville de Kinshasa, en République Démocratique du Congo Prevalence of caesarean according to the Democratic Republic of Congo. Ann Afr Méd. 2017; 10 (2).
[7]	MacDorman MF, Menacker F, Declercq E. Cesarean birth in the United States: epidemiology, trends, and outcomes. Clin Perinatol 2008. Jun; 35 (2): 293-307.
[8]	Ronsmans C, S. Holtz, and C. Stanton, Socioeconomic differentials in caesarean rates in developing countries: a retrospective analysis. TheLancet, 2006; 368 (9546): 1516-1523.
[9]	Torloni MR, Daher S, Betran AP, Widner M, Montilla P, Souza JP et al. Portrayal of caesarean review. BMJ 2011; 342: d276.
[10]	Moussa Diallo, Marie Edward Faye Dieme, Omar Gassama, Astou Coly Niassy Diallo, Mame Diarra Ndiaye Gueye, Jean Charles Moreau. The Caesarean Section in Dakar: Indications and Analysis Prognosis. Open Journal of Obstetrics and Gynecology, 2019, 9, 1213-1220 https://www.scirp.org/journal/ojog. DOI: 10.4236/ojog.2019.99118.
[11]	Flamm BL, Newman LA, Thomas SJ, Fallon D, Yoshida MM. Vaginal birth after cesarean delivery: result of a 5 year multi- center collaborative study. Obstet Gynecol 1990; 76: 750-4.
[12]	Brennan DJ, Robson MS, Murphy M, O’Herlihy C. Comparative analysis of international cesarean delivery rates using 10-group classification identifies significant variation in spontaneous labor. Am J Obstet Gynecol 2009; 201: 308, e1-8.
[13]	Studsgaard A, Skorstengaard M, Glavind J, Hvidman L, Uldbjerg N. Trial of labor compared to repeat cesarean section in women with no other risk factors than a prior cesarean delivery. Acta Obstet Gynecol Scand 2013; 92: 1256-63.
[14]	Guise JM, Berlin M, McDonagh M, et al. Safety of vaginal birth after cesarean: a systematic review. Obstet Gynecol 2004; 103: 420-9.
[15]	Tilden EL, Cheyney M, Guise JM, et al. Vaginal birth after cesarean: neonatal outcomes and United States birth setting. Am J Obstet Gynecol 2017; 216: 403, e1-e8.
[16]	Guise JM, Eden K, Emeis C, et al. Vaginal birth after cesarean: new insights. Evid Rep Technol Assess (Full Rep) 2010: 1-397.
[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.
[18]	Rozenberg P, Goffinet F, Phillippe HJ, Nisand I. Ultrasonographic measurement of lower uterine segment to assess risk of defects of scarred uterus. Lancet 1996; 347: 281-4.
[19]	Jastrow N, Demers S, Chaillet N, et al. Lower uterine segment thickness to prevent uterine rupture and adverse perinatal outcomes: a multicenter prospective study. Am J Obstet Gynecol 2016; 215: 604e1-e6.
[20]	FukudaK, ShimizuT, Bujold E. Ultrasound assessment of lower uterine segment thickness during pregnancy, labour, and the postpartum period. J Obstet Gynaecol Can 2016; 38: 134-40.
[21]	Pyykonen A, Gissler M, Lokkegaard E, et al. Cesarean section trends in the Nordic countries – a comparative analysis with the Robson classification. Acta Obstet Gynecol Scand 2017; 96: 607-16.
[22]	C. T. Cisse, E. Ewagnignon, I. Terolbe, F. Diadhiou. Accouchement sur utérus cicatriciel au CHU de Dakar. J Gynecol Obstet Biol Reprod 1999; 28: 556-562.

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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

Taliana Stephie Gondjout

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

Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal
Mohamed Tété Diadhiou

Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal
Marie Edouard Faye Dieme

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

Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal
Abdoul Aziz Diouf

Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal
Pape Malick Ngom

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

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

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

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

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

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

Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal
Youanidou Wane Dia

Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal
Philippe Marc Moreira

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

Gynaecological and Obstetric Clinic, Aristide Le Dantec University Hospital, Dakar, Senegal
Jean Charles Moreau

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

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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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