Evidence map›Paper›PMID 35617096›Full record

ReviewInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2023

Safe recovery after cesarean in rural Africa: Technical consensus guidelines for post-discharge care.

Fredrick Kateera, Bethany Hedt-Gauthier, Amy Luo, Anne Niyigena, Grace Galvin, Sadoscar Hakizimana, Rose L Molina, Adeline A Boatin, Prisca Kasonde, Juliet Musabeyezu and 4 more

Open access · hybridAbstract readReview
In one paragraph

Review in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Safe recovery after cesarean in rural Africa: Technical consensus guidelines for post-discharge care.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 4 countries.

Fredrick KateeraPartners In Health/Rwanda, Kigali, Rwanda.
Bethany Hedt-GauthierDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Amy LuoDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Anne NiyigenaPartners In Health/Rwanda, Kigali, Rwanda.
Grace GalvinAriadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Sadoscar HakizimanaPartners In Health/Rwanda, Kigali, Rwanda.
Rose L MolinaAriadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Adeline A BoatinProgram in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA.
Prisca KasondeObstetrics and Gynecology Consultant, Lusaka, Zambia.
Juliet MusabeyezuHarvard Medical School, Boston, Massachusetts, USA.
Joseph NgonziDepartment of Obstetrics and Gynecology, Mbarara University of Science and Technology, Mbarara, Uganda.
Robert RivielloDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Katherine SemrauAriadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Félix SayinzogaMaternal, Child and Community Health Division, Rwanda Biomedical Center, Kigali, Rwanda.
Harvard University · USBrigham and Women's Hospital · USPartners In Health · USRwanda Biomedical Center · RWHarvard Global Health Institute · USMassachusetts General Hospital · USMbarara University of Science and Technology · UGUniversity of Zambia · ZM

Funding

Dean's Innovation Grant, Harvard Medical School
6 · The paper itself

Abstract

Despite increasing cesarean rates in Africa, there remain extensive gaps in the standard provision of care after cesarean birth. We present recommendations for discharge instructions to be provided to women following cesarean delivery in Rwanda, particularly rural Rwanda, and with consideration of adaptable guidelines for sub-Saharan Africa, to support recovery during the postpartum period. These guidelines were developed by a Technical Advisory Group comprised of clinical, program, policy, and research experts with extensive knowledge of cesarean care in Africa. The final instructions delineate between normal and abnormal recovery symptoms and advise when to seek care. The instructions align with global postpartum care guidelines, with additional emphasis on care practices more common in the region and address barriers that women delivering via cesarean may encounter in Africa. The recommended timeline of postpartum visits and visit activities reflect the World Health Organization protocols and provide additional activities to support women who give birth via cesarean. These guidelines aim to standardize communication with women at the time of discharge after cesarean birth in Africa, with the goal of improved confidence and clinical outcomes among these individuals.

Indexed as

AftercarePatient DischargeAfrica South of the SaharaCesarean SectionFemaleHumansParturitionPregnancyglobal surgerymaternal healthpostpartumRwandasub-Saharan Africa

Identifiers

PMID35617096
PMCPMC10083957
OpenAlexW4281564733

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.