Maternal mortality after a cesarean area in Africa would be fifty times higher than that of rich countries, according to a study released Friday. Nearly one in two hundred women died after a caesarean section, according to this study of nearly 3,700 mothers in 22 African countries published in the medical journal "The Lancet Global Health".
The maternal mortality rate is in the order of 0.1 pr. 1000 operations in the UK compared to 5.43 per year 1000 surgeries for African mothers studied (based on 20 deaths after cesarean out of 3 684 African mothers). ).
African women had almost three times more complications during surgery than American women. Severe bleeding during or after surgery is the most common complication in African women.
Emergency caesarean section
"Improving caesarean surgical results can significantly reduce maternal and neonatal mortality" (deaths in the first 28 days of life), said Professor Bruce M. Biccard, the University of Cape Town (South Africa) leading the study.
In this study, three quarters of caesarean section was performed urgently (78.2%, 2,867 women). And many mothers have come to surgery with preoperative risk already high due to complications related to pregnancy.
Mothers who have pre-operative placental complications, uterine eruptions, pre-labor bleeding, severe parturition during the operation and complications of anesthesia are more likely to die after or during pregnancy. Caesarean section.
The most common surgery
This study is part of a large "ASOS" study (African Surgery Survey) that measures the surgical results of all patients for seven days in 183 hospitals in 22 African countries. It shows that caesarean section is the most common operation and accounts for one third of all surgeries in Africa, while neonatal mortality after caesarean section is twice the global average.
"Paradoxically, while many countries are trying to reduce the number of caesarean deliveries, the rise of the Caesars remains a priority in Africa," said Professor Biccard. "Better access to surgery – and the safety of this procedure – can allow patients to get past and avoid complications and deaths," he continues.
In this context, he advocates a better early identification of the risk of bleeding and a less restrictive use of postpartum bleeding. Long-lived blood products, as well as online help or mobile help with non-medical anesthesia, can also help increase survival rates.
Caesarean births have almost doubled in the world for fifteen years, from 12% to 21% between 2000 and 2015, and even exceeding 40% in 15 countries, according to a report published in 2018 in the medical journal "The Lancet". It is estimated that 10% to 15% of emperors are essential for medical reasons. (AFP / nxp)