Evidence map›Paper›PMID 40190504›Full record

ArticleAfrican health sciences2024

Caesarean sections among east African refugees and their host population: a 20-year retrospective study in western Tanzania.

Sarah Rapaport, Hilary Ngude, Chi Chiung Grace Chen, Mohamed Abbas, Amber Lekey, Peter J Winch, Joseph V Sakran, Kent A Stevens, Zachary Obinna Enumah

Abstract read
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In one paragraph

Article in African health sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Sarah RapaportGlobal Surgery Initiative, Department of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Hilary NgudeTanzania Red Cross Society, Dar es Salaam, Tanzania.
Chi Chiung Grace ChenDepartment of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Mohamed AbbasTanzania Red Cross Society, Dar es Salaam, Tanzania.
Amber LekeyDepartment of Surgery, Tulane University School of Medicine, New Orleans, LA, USA.
Peter J WinchDepartment of International Health, Johns Hopkins School of Public Health, Baltimore, MD, USA.
Joseph V SakranGlobal Surgery Initiative, Department of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Kent A StevensGlobal Surgery Initiative, Department of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Zachary Obinna EnumahGlobal Surgery Initiative, Department of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Half of the 35.3 million refugees worldwide are women and a third are of childbearing age, making reproductive healthcare in humanitarian settings indispensable. Caesarean section (CS) is the most common operation worldwide, accounting for 18.6% of births. Objective: This study provides a descriptive analysis of caesarean sections (CS) in a protracted refugee setting. Methods: This study is a retrospective review of CS recorded in logbooks between November 2000 and September 2020, inclusive. Data was abstracted from paper logbooks and included date, nationality, sex, age, and indication. Analysis was performed in STATA. Results: 8,461 CS were performed over the 20-year period. The average age was 24.6 years. Tanzanian patients made up 25% (n=2,116) of the population. The most common indications for CS for both Tanzanians and refugees were cephalopelvic disproportion (CPD), previous scar, and fetal distress. There was a significant difference in the proportion of adolescent and adult patients for the indications of CPD, previous scar, fetal distress, malposition, placenta previa, prolapse, and antepartum hemorrhage (APH). Conclusion: There is a significant amount of CS performed in this humanitarian setting. Refugees and Tanzanians utilize these services. Outcome data are needed to identify if CS in this setting reduces neonatal and maternal morbidity and mortality. Funding: American Society of Tropical Medicine and Hygiene; Ruth L. Kirschstein National Research Service Award T32 (Award: 2T32AR67708-6); Association for Academic Surgery.

Indexed as

Cesarean SectionRefugeesAdolescentAdultEast African PeopleFemaleHumansPregnancyRetrospective StudiesTanzaniaYoung Adultcaesarean sectionglobal surgeryhumanitarian settingRefugee healthTanzania

Identifiers

PMID40190504
PMCPMC11970151

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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.