Evidence map›Paper›PMID 40264037›Full record

SynthesisBMC pregnancy and childbirth2025

Epidemiology of surgical site infections post-cesarean section in Africa: a comprehensive systematic review and meta-analysis.

Mohamed Baklola, Mohamed Terra, Mohamed Gamal Elsehrawy, Hatoun Alali, Sereen Saleem Aljohani, Aseel Ali Alomireeni, Razan Mubarak Alqahtani, Norah Majed Albalawi, Kawthar Abdulaziz Jafail, Alaa Jaffar Mohammed and 3 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

13 authors.

Mohamed Baklola *Faculty of Medicine, Mansoura University, Mansoura, Egypt. Mohamedbaklola2000@gmail.com.
Mohamed Terra *Faculty of Medicine, Mansoura University, Mansoura, Egypt. Mohamedtera75@gmail.com.
Mohamed Gamal ElsehrawyNursing Administration and Education Department, College of Nursing, Prince Sattam Bin Abdulaziz University, Al-Kharj, 11942, Saudi Arabia.
Hatoun AlaliMedical Intern, Faculty of Medicine, Tabuk University, Tabuk, Saudi Arabia.
Sereen Saleem AljohaniFaculty of Medicine, King Faisal University, Al-Hofuf, Saudi Arabia.
Aseel Ali AlomireeniFaculty of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Razan Mubarak AlqahtaniCollege of Medicine, King Khalid University, Abha, Saudi Arabia.
Norah Majed AlbalawiMedical Intern, Faculty of Medicine, Tabuk University, Tabuk, Saudi Arabia.
Kawthar Abdulaziz JafailFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Alaa Jaffar MohammedFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Naji Al-BawahFaculty of Medicine, Sana'a University, Sana'a, Yemen. Najialbawah@gmail.com.
Mayas HafezQatif Central Hospital, Al Qatif, 32654, Saudi Arabia.
Ghada ElkhawagaPublic Health and Community Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infections (SSIs) are among the most common postoperative complications following cesarean section, particularly in Africa. These infections pose maternal health risks, including prolonged hospitalization, increased healthcare costs, and mortality. This systematic review and meta-analysis aimed to evaluate the epidemiology, pooled prevalence, and risk factors for SSIs after cesarean section in Africa.

methodsA systematic search of PubMed/MEDLINE, Scopus, and Web of Science databases was conducted to identify studies published between January 2000 and December 2023. The review followed PRISMA 2020 guidelines, and 41 studies spanning 18 African countries met the inclusion criteria. Data on SSI prevalence and risk factors were extracted, and the quality of studies was assessed using the Newcastle-Ottawa Scale. A random-effects model was used to estimate pooled prevalence, with subgroup analysis, sensitivity analyses, and meta-regression exploring variations across study characteristics. Publication bias was assessed using funnel plots.

resultsThe pooled prevalence of SSIs after cesarean section was 11% (95% CI: 9-12.9%) with substantial heterogeneity (I

conclusionSSIs following cesarean section remain a burden in Africa, with wide regional variations and multiple preventable risk factors. The findings highlight the need for targeted interventions, including improved infection control practices, antenatal care, and timely management of obstetric complications.

Indexed as

Cesarean SectionSurgical Wound InfectionAfricaFemaleHumansPregnancyPrevalenceRisk FactorsCesarean sectionCesarean section complicationsPost operativeSSISurgical site infection

Identifiers

PMID40264037
PMCPMC12016169

What OpenQuestion holds

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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.