%0 Journal Article
%T Caesarean in Rural Environment of Eastern Kasai (Dr Congo): Evolution of Caesarean Section Rates in Kasansa and Tshilenge
%A Andr¨¦ Guillaume Kabongo
%A Dady Kalala
%A Jean Christophe Bukasa
%A Deca Blood Banza
%A Christine Kankologo
%A Andr¨¦ Mutombo
%A Stany Wembonyama
%J Open Access Library Journal
%V 5
%N 4
%P 1-12
%@ 2333-9721
%D 2018
%I Open Access Library
%R 10.4236/oalib.1104564
%X <div style="text-align:justify;">
	<span style="line-height:1.5;">Objective: To analyze the evolution
monthly of the disastrous Caesarean and to their influence one maternal
mortality and infantile in the General hospitals of reference of Kasansa and
Tshilenge. Methods: Descriptive retrospective study Bi-centric related to 434
Caesareans carried out to the maternity of the general hospital of reference of
Kasansa and that of Tshilenge during years 2015 and 2016. Our dated were </span><span style="line-height:1.5;">collected in the obstetric files, registers of the maternity and the operating
room. Public garden Ki square is
used to compare it with
the percentages and T of Student for the comparison
of the averages in two maternities, and the percentage of
increase gold reduction was calculated with the formulated of growth used also
in economy. Results: Two maternities received respectively in 2015, 549 and 227
childbirth, among
which 136 Caesareans carried out with Kasansa and 72 in Tshilenge.
During the Disastrous months (from January to December), Caesareans dropped by
68.2%, (10.7% to 3.4%) in Kasansa and of 71.1% with Tshilenge (from 19.7% to
2.8%). In 2016, 702 childbirth and 109 Caesareans with Kasansa and 376
childbirth and 117 Caesareans with Tshilenge. Disastrous Caesarean dropped by
7% (from 12.8% to 11.9%) with Kasansa and raised of 143.3% with Tshilenge (from
6% to 14.6%). Perinatal mortality dropped by 69.5% in 2015 and 51.8% in 2016
and maternal mortality dropped respectively by 100% in 2015 and in 2016 of
35.9%. Conclusion: During 24 months concerned with the study (of January 2015
with December 2016), the practice of the Caesarean Knew has fell into the two structures except
for maternity of Tshilenge 2016. Thus, the improvement of the maternal forecast
master keys rather by year improvement of the quality of the obstetric
assumption of responsibility but not by the increase amongst
operational childbirth. Thesis results encourage custom to analyze the participation
of the various disastrous indications in the variation of the Caesarean
in this medium.</span>
</div>
%K Caesarean
%K Failure
%K Evolution
%K Kasansa
%K Tshilenge
%U http://www.oalib.com/paper/5293637