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Published on: January 17, 2019
Mortality related to caesarean section in rural Matebeleland North Province, Zimbabwe
1sandra.rutgers@freeler.nl
Objectives:
To describe mortality related to Caesarean sections as well as factors associated with these deaths.
Design:
Retrospective cross-sectional.
Setting:
Seven district hospitals in Matebeleland North.
Main Outcome Measures:
Proportion of Caesarean sections that resulted in maternal deaths, and the causes thereof.
Results:
1093 Caesarean sections were carried out over a 3 year period; 18 women (1.6%) died within 42 days of the operation, 15 of them within 24 hours. Haemorrhage was the major cause of death. A major association with adverse outcome was delayed intervention.
Conclusion:
The decision to perform a CS should take into account local circumstances. Symphysiotomy remains an alternative under the prevailing socio-economic climate. Tubal ligation at the time of a CS must be made available to women who have completed their family to prevent complications in successive pregnancies.
