Assessment of the Direct Cost of the Management of a Caesarean Section in Three Health Facilities in the Kisanga Health Zone (Sainte Bernadette, Clinique la Grace and HGR/la Foi)
Introduction: Caesarean section performed on time and in good conditions, is one of the obstetrical interventions capable of reducing maternal mortality. Objective: the objective of our study is to contribute to the reduction of infantomaternal morbidity and mortality. Methodology: We conducted a cross-sectional descriptive study that covered one year from January 2021 to January 2021. Our study included 114 women; Data were entered in Excel and analyzed in SPSS version 23. Results: Out of a total of 245 women who came to give birth in the three structures concerned by our study, 114 had had a caesarean section, i.e. a proportion of 46.5%. Most women were from secondary school (49.1%), The majority of women had no history of caesarean section (75.4%), abortion (65.8%) and had a parity ≥ 5 (90.3%), Acute fetal distress was the first reason for caesarean section with 20.1% of cases. The cost of caesarean section was not statistically significant. The average length of stay in the three health facilities was statistically different (P: 0.001). Conclusion: Caesarean section remains a therapy that saves the mother and the child in case of dystocia or fetal distress.
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Tshomba, A. K. , Bute, M. B. M. , Ornella, B. M. , Mulombe, D. M. , Mahanya, C. I. , Mutwale, O. F. , Eddy, E. K. W. Y. , Kapya, D. M. , Ngoy, M. W. , Osakanu, G. L. and Kandolo, S. I. (2022). Assessment of the Direct Cost of the Management of a Caesarean Section in Three Health Facilities in the Kisanga Health Zone (Sainte Bernadette, Clinique la Grace and HGR/la Foi). Open Access Library Journal, 9, e9576. doi: http://dx.doi.org/10.4236/oalib.1109576.
Elgebaly, A.S. and Mohamed, R.M.M. (2017) Evaluation of the Role of Induced Uterine Contraction on Blood Loss during Caesarean Section under Different Types of Anesthesia: A Double-Blind Controlled Study. Journal of Anesthesia and Clinical Research, 8, 8-12. https://doi.org/10.4172/2155-6148.1000798
Diarra, M.G. (2006) Etude de la césarienne à la maternité de l’hôpital Nianankoro FOMBA de Ségou du 1er Janvier au 31 Décembre 2005. Master’s Thesis, Université de Bamako, Bamako.
Daniel, S.I. (2019) Evolution des indications de la césarienne aux cliniques universitaires de Bukavu de janvier 2014 à décembre 2017: République démocratique de Congo, université officielle de Bukavu. Master’s Thesis. Université officielle de de Bukavu, Bukavu.
Tahila, I., Asmouki, H. and Soummani, A. (2011) Les indications de la césarienne. Expérience du service de gynéco-obstétrique B au sein du CHU Mohamed VI durant 2ans. Master’s Thesis,Faculté de médicine et de pharmacie, Marrakech.
Amadomon, J.S. (2010) Consultations prenatales recentrees: connaissances, attitudes et pratiques de la communaute de diogare. Master’s Thesis, Universitéde Bamako, Mali Bamako.
Picod, G., Boulanger, L. and Bounoua, F. (2006) Endométriose pariétale sur cicatrice de césarienne: à propos de 15 cas. Gynécologie Obstétrique & Fertilité, 34, 8-13.
https://doi.org/10.1016/j.gyobfe.2005.11.002
Mongbo, V., Ouendo, E.-M. and De Brouwere, V. (2016) La césarienne de qualité: étude transversale dans 12 hôpitaux au BéninQuality of caesarean delivery: A cross-sectional study in 12 hospitals in Benin. Revue d’épidémiologie et de Santé Publique, 64, 281-293. https://doi.org/10.1016/j.respe.2016.02.009
Kinenkinda, X., Mukuku, O., Baptiste, J. and Zambeze, S. (2017) Césarienne à Lubumbashi, République Démocratique du Congo I: fréquence, indications et mortalité maternelle et périnatale. The Pan African Medical Journal, 27, Article No. 72.
https://doi.org/10.11604/pamj.2017.27.72.12147
Thiam, O. (2014) Etude comparative de deux techniques de césarienne: la technique de misgav ladach et celle de pfannenstiel dans une maternite au Sénégal. RAMReS Science de la Santé, 2, 12 p.