A cross-sectional study of indications for cesarean deliveries in Médecins Sans Frontières facilities across 17 countries

Reinou S. Groen, Miguel Trelles, Severine Caluwaerts, Jessica Papillon-Smith, Saiqa Noor, Burhani Qudsia, Brigitte Ndelema, Kalla M. Kondo, Evan Wong, Hiten D. Patel, Adam L. Kushner

Research output: Contribution to journalArticle

Abstract

Objective To review the major indications for cesareans performed by Médecins Sans Frontières (MSF) personnel from the Operational Center Brussels. Methods A retrospective study was undertaken of all singleton cesarean deliveries from 2008-2012 for which indications were recorded. Location of project, age of patient, type of anesthesia, and duration of operation were also recorded. Results A total of 14 151 singleton cesarean deliveries were identified from 17 countries. Among the 15 905 indications recorded, the most common was failure to progress or cephalopelvic disproportion (4822 [30.3%]), followed by previous uterine scar (2504 [15.7%]), non-reassuring fetal status (2306 [14.5%]), and fetal malpresentation (1746 [11.0%]). Other indications were placenta or vasa previa (794 [5.0%]), uterine rupture (676 [4.3%]), hypertensive disorders (659 [4.1%]), placental abruption (520 [3.3%]), pre-rupture (450 [2.8%]), and cord prolapse (365 [2.3%]). Conclusion Indications for cesareans in MSF settings differ from those in higher-income countries. Further investigation is needed for adequate emergency obstetric care coverage.

Original languageEnglish (US)
Pages (from-to)231-235
Number of pages5
JournalInternational Journal of Gynecology and Obstetrics
Volume129
Issue number3
DOIs
StatePublished - Jun 1 2015
Externally publishedYes

Fingerprint

Vasa Previa
Cephalopelvic Disproportion
Labor Presentation
Uterine Rupture
Placenta Previa
Abruptio Placentae
Prolapse
Emergency Medical Services
Obstetrics
Cicatrix
Rupture
Anesthesia
Retrospective Studies
Cross-Sectional Studies

Keywords

  • Cesarean delivery
  • Doctors Without Borders
  • Global surgery
  • Indications
  • Maternal health
  • Médecins Sans Frontières
  • Obstetrics

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

A cross-sectional study of indications for cesarean deliveries in Médecins Sans Frontières facilities across 17 countries. / Groen, Reinou S.; Trelles, Miguel; Caluwaerts, Severine; Papillon-Smith, Jessica; Noor, Saiqa; Qudsia, Burhani; Ndelema, Brigitte; Kondo, Kalla M.; Wong, Evan; Patel, Hiten D.; Kushner, Adam L.

In: International Journal of Gynecology and Obstetrics, Vol. 129, No. 3, 01.06.2015, p. 231-235.

Research output: Contribution to journalArticle

Groen, RS, Trelles, M, Caluwaerts, S, Papillon-Smith, J, Noor, S, Qudsia, B, Ndelema, B, Kondo, KM, Wong, E, Patel, HD & Kushner, AL 2015, 'A cross-sectional study of indications for cesarean deliveries in Médecins Sans Frontières facilities across 17 countries', International Journal of Gynecology and Obstetrics, vol. 129, no. 3, pp. 231-235. https://doi.org/10.1016/j.ijgo.2014.12.008
Groen, Reinou S. ; Trelles, Miguel ; Caluwaerts, Severine ; Papillon-Smith, Jessica ; Noor, Saiqa ; Qudsia, Burhani ; Ndelema, Brigitte ; Kondo, Kalla M. ; Wong, Evan ; Patel, Hiten D. ; Kushner, Adam L. / A cross-sectional study of indications for cesarean deliveries in Médecins Sans Frontières facilities across 17 countries. In: International Journal of Gynecology and Obstetrics. 2015 ; Vol. 129, No. 3. pp. 231-235.
@article{707f0613d4884b4f842dd86b450d130b,
title = "A cross-sectional study of indications for cesarean deliveries in M{\'e}decins Sans Fronti{\`e}res facilities across 17 countries",
abstract = "Objective To review the major indications for cesareans performed by M{\'e}decins Sans Fronti{\`e}res (MSF) personnel from the Operational Center Brussels. Methods A retrospective study was undertaken of all singleton cesarean deliveries from 2008-2012 for which indications were recorded. Location of project, age of patient, type of anesthesia, and duration of operation were also recorded. Results A total of 14 151 singleton cesarean deliveries were identified from 17 countries. Among the 15 905 indications recorded, the most common was failure to progress or cephalopelvic disproportion (4822 [30.3{\%}]), followed by previous uterine scar (2504 [15.7{\%}]), non-reassuring fetal status (2306 [14.5{\%}]), and fetal malpresentation (1746 [11.0{\%}]). Other indications were placenta or vasa previa (794 [5.0{\%}]), uterine rupture (676 [4.3{\%}]), hypertensive disorders (659 [4.1{\%}]), placental abruption (520 [3.3{\%}]), pre-rupture (450 [2.8{\%}]), and cord prolapse (365 [2.3{\%}]). Conclusion Indications for cesareans in MSF settings differ from those in higher-income countries. Further investigation is needed for adequate emergency obstetric care coverage.",
keywords = "Cesarean delivery, Doctors Without Borders, Global surgery, Indications, Maternal health, M{\'e}decins Sans Fronti{\`e}res, Obstetrics",
author = "Groen, {Reinou S.} and Miguel Trelles and Severine Caluwaerts and Jessica Papillon-Smith and Saiqa Noor and Burhani Qudsia and Brigitte Ndelema and Kondo, {Kalla M.} and Evan Wong and Patel, {Hiten D.} and Kushner, {Adam L.}",
year = "2015",
month = "6",
day = "1",
doi = "10.1016/j.ijgo.2014.12.008",
language = "English (US)",
volume = "129",
pages = "231--235",
journal = "International Journal of Gynecology and Obstetrics",
issn = "0020-7292",
publisher = "Elsevier Ireland Ltd",
number = "3",

}

TY - JOUR

T1 - A cross-sectional study of indications for cesarean deliveries in Médecins Sans Frontières facilities across 17 countries

AU - Groen, Reinou S.

AU - Trelles, Miguel

AU - Caluwaerts, Severine

AU - Papillon-Smith, Jessica

AU - Noor, Saiqa

AU - Qudsia, Burhani

AU - Ndelema, Brigitte

AU - Kondo, Kalla M.

AU - Wong, Evan

AU - Patel, Hiten D.

AU - Kushner, Adam L.

PY - 2015/6/1

Y1 - 2015/6/1

N2 - Objective To review the major indications for cesareans performed by Médecins Sans Frontières (MSF) personnel from the Operational Center Brussels. Methods A retrospective study was undertaken of all singleton cesarean deliveries from 2008-2012 for which indications were recorded. Location of project, age of patient, type of anesthesia, and duration of operation were also recorded. Results A total of 14 151 singleton cesarean deliveries were identified from 17 countries. Among the 15 905 indications recorded, the most common was failure to progress or cephalopelvic disproportion (4822 [30.3%]), followed by previous uterine scar (2504 [15.7%]), non-reassuring fetal status (2306 [14.5%]), and fetal malpresentation (1746 [11.0%]). Other indications were placenta or vasa previa (794 [5.0%]), uterine rupture (676 [4.3%]), hypertensive disorders (659 [4.1%]), placental abruption (520 [3.3%]), pre-rupture (450 [2.8%]), and cord prolapse (365 [2.3%]). Conclusion Indications for cesareans in MSF settings differ from those in higher-income countries. Further investigation is needed for adequate emergency obstetric care coverage.

AB - Objective To review the major indications for cesareans performed by Médecins Sans Frontières (MSF) personnel from the Operational Center Brussels. Methods A retrospective study was undertaken of all singleton cesarean deliveries from 2008-2012 for which indications were recorded. Location of project, age of patient, type of anesthesia, and duration of operation were also recorded. Results A total of 14 151 singleton cesarean deliveries were identified from 17 countries. Among the 15 905 indications recorded, the most common was failure to progress or cephalopelvic disproportion (4822 [30.3%]), followed by previous uterine scar (2504 [15.7%]), non-reassuring fetal status (2306 [14.5%]), and fetal malpresentation (1746 [11.0%]). Other indications were placenta or vasa previa (794 [5.0%]), uterine rupture (676 [4.3%]), hypertensive disorders (659 [4.1%]), placental abruption (520 [3.3%]), pre-rupture (450 [2.8%]), and cord prolapse (365 [2.3%]). Conclusion Indications for cesareans in MSF settings differ from those in higher-income countries. Further investigation is needed for adequate emergency obstetric care coverage.

KW - Cesarean delivery

KW - Doctors Without Borders

KW - Global surgery

KW - Indications

KW - Maternal health

KW - Médecins Sans Frontières

KW - Obstetrics

UR - http://www.scopus.com/inward/record.url?scp=84929269496&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84929269496&partnerID=8YFLogxK

U2 - 10.1016/j.ijgo.2014.12.008

DO - 10.1016/j.ijgo.2014.12.008

M3 - Article

C2 - 25770352

AN - SCOPUS:84929269496

VL - 129

SP - 231

EP - 235

JO - International Journal of Gynecology and Obstetrics

JF - International Journal of Gynecology and Obstetrics

SN - 0020-7292

IS - 3

ER -