ArticlePloS one2012
Maternal and perinatal outcomes by mode of delivery in senegal and mali: a cross-sectional epidemiological survey.
Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Socioeconomic, demographic and obstetric determinants of maternal near miss in Africa: A systematic review.PloS one · 2025Pooled it
- Prevalence, indications and fetal outcomes of operative vaginal delivery in Sub-Saharan Africa, systematic review, and meta-analysis.BMC women's health · 2023Pooled it
- Strategies for intrapartum foetal surveillance in low- and middle-income countries: A systematic review.PloS one · 2018Pooled it
- Caesarean delivery and neonatal mortality: evidence from selected slums in and around Dhaka city, Bangladesh- A prospective cohort study.Journal of health, population, and nutrition · 2024Article
- Early neonatal mortality and determinants in sub-Saharan Africa: Findings from recent demographic and health survey data.PloS one · 2024Article
- Determinants of maternal length of stay following childbirth in a rural health facility in Eritrea.BMC pregnancy and childbirth · 2023Article
- Length-of-stay after a health facility birth and associated factors: analysis of data from three Sub-Saharan African countries.Ghana medical journal · 2022Article
- Prediction of Emergency Cesarean Section Using Machine Learning Methods: Development and External Validation of a Nationwide Multicenter Dataset in Republic of Korea.Life (Basel, Switzerland) · 2022Article
- Stillbirth, neonatal and maternal mortality among caesarean births in Kenya and Uganda: a register-based prospective cohort study.BMJ open · 2022Article
- Determinants for perinatal adverse outcomes among pregnant women with preterm premature rupture of membrane: A prospective cohort study.Frontiers in reproductive health · 2022Article
- Reliability of a clinical method in estimating foetal weight and predicting route of delivery in term parturient monitored at a voluntary agency hospital in Southwest Nigeria.African journal of primary health care & family medicine · 2021Article
- The association of timing of repeat cesarean with outcomes among a cohort of Guatemalan women with a history of prior cesarean birth.BMC pregnancy and childbirth · 2021Article
- Risk factors for adverse outcomes in women with high-risk pregnancy and their neonates, Haiti.Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- Incidence and Predictors of Maternal and Perinatal Mortality among Women with Severe Maternal Outcomes: A Tanzanian Facility-Based Survey for Improving Maternal and Newborn Care.Obstetrics and gynecology international · 2020Article
- Outcomes among Mothers Who Gave Birth in the Health Facility: Does Birth Preparedness and Complication Readiness Have a Role?Obstetrics and gynecology international · 2019Article
- Article
- Patterns and Associated Factors of Caesarean Delivery Intention among Expectant Mothers in China: Implications from the Implementation of China's New National Two-Child Policy.International journal of environmental research and public health · 2016Article
- Cesarean section in sub-Saharan Africa.Maternal health, neonatology and perinatology · 2016Review
- Knowledge and Attitude of Obstetric Care Providers on Partograph and Its Associated Factors in East Gojjam Zone, Northwest Ethiopia.Advances in medicine · 2016Article
- The Hidden Costs of a Free Caesarean Section Policy in West Africa (Kayes Region, Mali).Maternal and child health journal · 2015Article
Corrections and comments
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Authors and funding
8 authors at 7 institutions in 3 countries.
Funding
Abstract
objectiveIn the context of rapid changes regarding practices related to delivery in Africa, we assessed maternal and perinatal adverse outcomes associated with the mode of delivery in 41 referral hospitals of Mali and Senegal. STUDY
designCross-sectional survey nested in a randomised cluster trial (1/10/2007-1/10/2008). The associations between intended mode of delivery and (i) in-hospital maternal mortality, (ii) maternal morbidity (transfusion or hysterectomy), (iii) stillbirth or neonatal death before Day 1 and (iv) neonatal death between 24 hours after birth and hospital discharge were examined. We excluded women with immediate life threatening maternal or fetal complication to avoid indication bias. The analyses were performed using hierarchical logistic mixed models with random intercept and were adjusted for women's, newborn's and hospitals' characteristics.
resultsAmong the 78,166 included women, 2.2% had a pre-labor cesarean section (CS) and 97.8% had a trial of labor. Among women with a trial of labor, 87.5% delivered vaginally and 12.5% had intrapartum CS. Pre-labor CS was associated with a marked reduction in the risk of stillbirth or neonatal death before Day 1 as compared with trial of labor (OR = 0.2 [0.16-0.36]), though we did not show that maternal mortality (OR = 0.3 [0.07-1.32]) and neonatal mortality after Day 1 (OR = 1.3 (0.66-2.72]) differed significantly between groups. Among women with trial of labor, intrapartum CS and operative vaginal delivery were associated with higher risks of maternal mortality and morbidity, and neonatal mortality after Day 1, as compared with spontaneous vaginal delivery.
conclusionsIn referral hospitals of Mali and Senegal, pre-labor CS is a safe procedure although intrapartum CS and operative vaginal delivery are associated with increased risks in mothers and infants. Further research is needed to determine what aspects of obstetric care contribute to a delay in the provision of intrapartum interventions so that practices may be made safer when they are needed.
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