ArticleBMC pregnancy and childbirth2012
Individual and institutional determinants of caesarean section in referral hospitals in Senegal and Mali: a cross-sectional epidemiological survey.
Article in BMC pregnancy and childbirth, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Trial
- DECIDE: a cluster randomized controlled trial to reduce non-medically indicated caesareans in Burkina Faso.BMC pregnancy and childbirth · 2016Trial
- Effect of a facility-based multifaceted intervention on the quality of obstetrical care: a cluster randomized controlled trial in Mali and Senegal.BMC pregnancy and childbirth · 2013Trial
- Determinants of caesarean section use in Ghana: A trend analysis of 2003-2022 DHS data.PLOS global public health · 2025Article
- How does hospital organisation influence the use of caesarean sections in low- and middle-income countries? A cross-sectional survey in Argentina, Burkina Faso, Thailand and Vietnam for the QUALI-DEC project.BMC pregnancy and childbirth · 2024Article
- High Rates of Repeated Caesarean Section Deliveries and its Associated Maternal and Foetal Complications at A Tertiary Hospital in Northern Tanzania.The East African health research journal · 2024Article
- Prevalence and determinants of caesarean section deliveries in the Kintampo Districts of Ghana.BMC pregnancy and childbirth · 2023Article
- Does Timing of Antenatal Care Initiation and the Contents of Care Have Effect on Caesarean Delivery in Ethiopia? Findings from Demographic and Health Survey.Journal of environmental and public health · 2021Article
- Cesarean delivery and associated socioeconomic factors and neonatal survival outcome in Kenya and Tanzania: analysis of national survey data.Global health action · 2020Article
- Clinical evaluation of anesthesia for high-risk cesarean section at a tertiary medical center: retrospective study for 8 years (2009-2016).The Journal of international medical research · 2019Article
- Impact of Gestational Weight Gain on Cesarean Delivery Risk, Perinatal Birth Weight and Gestational Age in Women with Normal Pre-pregnancy BMI.Journal of obstetrics and gynaecology of India · 2018Article
- Epidemiology of Cesarean Delivery in Qassim, Saudi Arabia.Open access Macedonian journal of medical sciences · 2018Article
- A case-control study of factors associated with caesarean sections at health facilities in Kabarole District, Western Uganda, 2016.The Pan African medical journal · 2018Article
- Disparities in caesarean section prevalence and determinants across sub-Saharan Africa countries.Global health research and policy · 2018Article
- Maternal and perinatal outcome after previous caesarean section in rural Rwanda.BMC pregnancy and childbirth · 2017Article
- Rates, indications, and outcomes of caesarean section deliveries: A comparison of tribal and non-tribal women in Gujarat, India.PloS one · 2017Article
- Cesarean section in sub-Saharan Africa.Maternal health, neonatology and perinatology · 2016Review
- Indications for and Risks of Elective Cesarean Section.Deutsches Arzteblatt international · 2015Review
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Authors and funding
6 authors.
Funding
Abstract
backgroundTwo years after implementing the free-CS policy, we assessed the non-financial factors associated with caesarean section (CS) in women managed by referral hospitals in Senegal and Mali.
methodsWe conducted a cross-sectional survey nested in a cluster trial (QUARITE trial) in 41 referral hospitals in Senegal and Mali (10/01/2007-10/01/2008). Data were collected regarding women's characteristics and on available institutional resources. Individual and institutional factors independently associated with emergency (before labour), intrapartum and elective CS were determined using a hierarchical logistic mixed model.
resultsAmong 86 505 women, 14% delivered by intrapartum CS, 3% by emergency CS and 2% by elective CS. For intrapartum, emergency and elective CS, the main maternal risk factors were, respectively: previous CS, referral from another facility and suspected cephalopelvic-disproportion (adjusted Odds Ratios from 2.8 to 8.9); vaginal bleeding near full term, hypertensive disorders, previous CS and premature rupture of membranes (adjusted ORs from 3.9 to 10.2); previous CS (adjusted OR=19.2 [17.2-21.6]). Access to adult and neonatal intensive care, a 24-h/day anaesthetist and number of annual deliveries per hospital were independent factors that affected CS rates according to degree of urgency. The presence of obstetricians and/or medical-anaesthetists was associated with an increased risk of elective CS (adjusted ORs [95%CI] = 4.8 [2.6-8.8] to 9.4 [5.1-17.1]).
conclusionsWe confirm the significant effect of well-known maternal risk factors affecting the mode of delivery. Available resources at the institutional level and the degree of urgency of CS should be taken into account in analysing CS rates in this context.
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