Assessment of the free caesarean at the University Clinic of Gynecology and Obstetrics of CNHU Cotonou in Benin

Mukanire N; Iteke F R; Adisso S

Volume : VI, Issue : III, March - 2016

Assessment of the free caesarean at the University Clinic of Gynecology and Obstetrics of CNHU Cotonou in Benin

Mukanire N, Iteke F R, Adisso S

Abstract :

OBJECTIVE: To evaluate the practice of free caesarean CHNU in Cotonou. PATIENTS AND METHODS: Retrospective and descriptive documentary study referred to a five months period that included all women who had caesareans received free during the study period. The parameters studied were sociodemographic, clinical, financial and scalable. The data were collected, entered and analyzed by Excel software and Epi Info version 3.5.1 2008. RESULTS: 716 caesarean sections were performed on a total of 1612 delivery, or 44%. The average age was 27 years (extremes: 16–43 years). More than half were married (71%) with primary profession trade (27.1%). 57% of women in labor was educated. Dystocia and cesarean history were the main cesarean section related to the mother of indications 67.3%) and over half (65.4%) of women in labor caesareans had followed their pregnancies out of CUGO. The majority of spouses (78%) had incomes below the real cost of cesarean section. Most of the practitioners suggested the inclusion of spinal anesthesia kit (33.3%), the increase of staff (20%) and the number of operating tables (13.3%). Conclusion: The results of this first experience on the free caesarean are very encouraging in terms of numbers (516 caesarean sections), low morbidity and mortality rates, and availability ensured without physically out of stock; although much remains to be done on increasing the rate of free, number of staff and the availability of spinal anesthesia kit. We urge the authorities to support benefit structures to improve and sustain this activity.