Objective: The overall objective of this study was to make a small contribution to improving the health of mothers and children. Method: This is a transversal descriptive study, which took place in the city of Mbuji-Mayi, exactly in the general reference hospitals of this city during the period from March 13 to June 12, 2017, on a sample of 103 cases of cesarean sections. The determinants of the quality of the cesarean section were found by the bivariate analyzes on SPSS. Results: After collecting and analyzing data, we arrived at the results according to which: The cesarean section rate is 8.9%, the fairly good, low and medium quality cesarean section represented 51.5%, 2.9% and 45.6% respectively and if the operating room was available, the probability of having a mid-quality cesarean was 90 times higher (p < 0.001), 14 times higher in the case of a mother and child alive than in the event of death of the child (p < 0.001) and 4.3 times weak or fairly good with an ineffective kit (p < 0.001). Conclusion: The cesarean section rate is 8.9% and the determinants of quality cesarean section were: the availability of the operating room, mother-child prognosis and the availability of the operating kit. These results will help decision-makers in health matters to train and retrain health personnel, particularly midwives, on the benefits of prenatal consultation and its objectives, timely referral, and on the quality of work supervision.
Cite this paper
Claire, B. K. M. , Fortunat, M. M. , John, K. M. , Cibangu, K. , Tshimanga, K. , Michel, K. N. , Sébastien, K. K. , Laurent-Blaise, B. B. and Mulowayi, J. C. M. (2021). Determinants of the Quality of the Cesarean Section in Mbuji-Mayi City (Democratic Republic of Congo). Open Access Library Journal, 8, e6307. doi: http://dx.doi.org/10.4236/oalib.1106307.
Blondel, B., Le long, N., Kermarrec, M. and Goffinet, F. (2012) Perinatal Health in Mainland France from 1995 to 2010. Results of National Perinatal Surveys. The Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 9, 16-17.
Say, L., Chou, D., Gemmill, A., Tunçalp, O., Moller, A.B. and Daniels, J. (2014) Global Causes of Maternal Death a WHO Systematic Analysis. Lancet Global Health, 2, e323-e333. https://doi.org/10.1016/S2214-109X(14)70227-X
Ouedrago, C., Zougrana, T., Dao, B., Dujardin, B. and Kone, B. (2001) The Quality Cesarean Section at the Yalgado Ouedrago Hospital Center in Ouagadougou. Analysis of the Determinants Concerning 478 Cases Brought Up in the Gynecology and Obstetrics Department. Black African Medicine 2001. Collected in the Obstetrics Gynecology Department. Black African Medicine.
Biayi Mikenji, J., Mumba Mukandila, A., Kitengie Kapila, R., Kabila Ilunga, C., Kamonayi Mulumba, J., Mulumba, J. and Lumbala Tshimpanga, T. (2017) Emergency Cesarean in Semi-Urban Areas: Prevalence, Some Determinants and Indications by Applying Luscas Colors to HGR Kabinda. Ground Floor. Rev. Med Gds lakes, 9, 40-46.
Sepou, A., Yanza, M.C., Nguembi, E., Ngbale, R., Kouriah, G., Kouabosso, A. and Nalim, N. (1998) Study of 299 Cases of Caesareans Performed at the Bangui Community Hospital (Central African Republic). Black African Medicine, 2000, 47.
Keita, N., Diallo, M.-S., Ijazy, Y., Barry, M.D. and Touré, B. (2014) Ruptures Uterines. About 155 Cases Observed in Conakry (Republic of Guinea). The Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 18, 1041-1047.