Cesarean deliveries in the maternity of military hospital of Tunis. Indication and prognosis: about 5008 cases
Messaoudi, F.; Yazidi, M.; Ben Jemaa, S.; Basly, M.; El Housaini, S.; Zayene, H.; Messaoudi, L.; Chibani, M.; Rachdi, R.
La Tunisie Medicale 85(8): 659-664
2007
ISSN/ISBN: 0041-4131 PMID: 18254287 Document Number: 613528
The rates of cesareans increased in many countries, these last years. we propose to evaluate the indications, and the maternal and foetal prognosis. it's a retrospective study of 5008 cesareans during 10 years period, collected in the maternity of the military hospital of Tunis. Cesarean section rate is 21.59%. The cicatricial uterus constitutes the dominant indication (34%). In the event of noncicatricial uterus, the fetal suffering (24.7%), the failure of the trial of labour (14.2%), and the breech presentation (12.7%) are the principal indications. The hemorrhage constitutes the major complication into peroperational (2%). The post-operative complications are noted in 15.5%. Maternal mortality is 0.13%; perinatal mortality is 1.06%; perinatal morbidity is 9.68%. The increase of cesarean rate improves fetal and neonatal prognosis however it was associated to an increase of maternal.