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Neonatal outcomes can be directly and indirectly affected by caesarean delivery (CD). Data on CD rates in semi-urban and rural hospitals in resource-limited settings are scarce and yet are needed to better guide the care of women and neonates in these settings. We carried out a hospital-based retrospective and prospective cross-sectional study using descriptive and analytic methods conducted within a nine months period in 2014 in two resources-limited hospitals, Cameroon. 199 neonates born through CD were recruited for the study. The prevalence of CD was 13.3% with cephalopelvic disproportion…mehr

Produktbeschreibung
Neonatal outcomes can be directly and indirectly affected by caesarean delivery (CD). Data on CD rates in semi-urban and rural hospitals in resource-limited settings are scarce and yet are needed to better guide the care of women and neonates in these settings. We carried out a hospital-based retrospective and prospective cross-sectional study using descriptive and analytic methods conducted within a nine months period in 2014 in two resources-limited hospitals, Cameroon. 199 neonates born through CD were recruited for the study. The prevalence of CD was 13.3% with cephalopelvic disproportion being the most frequent (32.2%) indication for CD. There were 52 (26.1%) ANO following CD and respiratory distress was the most common 24 (46.2%) of all ANO. Emergency indications for CD were associated with more ANO 49 (34.5%) as compared to elective indications for CD 3 (5.3%). The prevalence of ANO associated with CD in our hospitals was high with a worrying prognosis. While the exact reasons are unknown, the creation of well-equipped neonatal units with trained staff, may contribute to reduce neonatal morbidity and fatalities.
Autorenporträt
Dr. Tanyi John Tanyi (M.D), works with Ministry of Public Health Cameroon. Studied Medicine at University of Buea, Cameroon. District Medical Officer, Konye Health District, SWR, Cameroon.