Cesarean delivery surveillance system at a maternity hospital in Kabul, Afghanistan

Tharani Kandasamy, Mario Merialdi, Richard J. Guidotti, Ana P. Betrán, Jennifer Harris Requejo, Farima Hakimi, Paul F. Van Look, F. Kakar

Research output: Contribution to journalArticle

Abstract

Objective: To use an active facility-based maternal and newborn surveillance system to describe cesarean delivery practices and outcomes in a resource-poor setting. Methods: Using data from operating room logbooks, 392 cesarean deliveries were evaluated between April 1 and June 30 2006 at a large public maternity hospital in Kabul, Afghanistan. Results: The perinatal mortality rate was 89 per 1000 births: 57% antepartum and 37% intrapartum stillbirths. Fetuses with normal birth weight comprised 85% of intrapartum stillbirths. Obstructed labor, uterine rupture, and malpresentation accounted for more than 50% of perinatal deaths. The cesarean delivery rate was 10.2% and there were 2 maternal deaths. Conclusion: The high percentage of intrapartum stillbirths among normal birth weight fetuses suggests a need for improved labor monitoring and surgical obstetric practices. The use of a facility-based perinatal surveillance system is critical in guiding such quality assurance initiatives.

Original languageEnglish (US)
Pages (from-to)14-17
Number of pages4
JournalInternational Journal of Gynecology and Obstetrics
Volume104
Issue number1
DOIs
StatePublished - Jan 2009
Externally publishedYes

Fingerprint

Afghanistan
Maternity Hospitals
Stillbirth
Birth Weight
Fetus
Uterine Rupture
Maternal Death
Perinatal Mortality
Public Hospitals
Operating Rooms
Obstetrics
Mothers
Parturition
Newborn Infant
Mortality

Keywords

  • Afghanistan
  • Birth weight
  • Cesarean delivery
  • Perinatal outcome
  • Quality assurance
  • Surveillance system

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Kandasamy, T., Merialdi, M., Guidotti, R. J., Betrán, A. P., Requejo, J. H., Hakimi, F., ... Kakar, F. (2009). Cesarean delivery surveillance system at a maternity hospital in Kabul, Afghanistan. International Journal of Gynecology and Obstetrics, 104(1), 14-17. https://doi.org/10.1016/j.ijgo.2008.08.024

Cesarean delivery surveillance system at a maternity hospital in Kabul, Afghanistan. / Kandasamy, Tharani; Merialdi, Mario; Guidotti, Richard J.; Betrán, Ana P.; Requejo, Jennifer Harris; Hakimi, Farima; Van Look, Paul F.; Kakar, F.

In: International Journal of Gynecology and Obstetrics, Vol. 104, No. 1, 01.2009, p. 14-17.

Research output: Contribution to journalArticle

Kandasamy, T, Merialdi, M, Guidotti, RJ, Betrán, AP, Requejo, JH, Hakimi, F, Van Look, PF & Kakar, F 2009, 'Cesarean delivery surveillance system at a maternity hospital in Kabul, Afghanistan', International Journal of Gynecology and Obstetrics, vol. 104, no. 1, pp. 14-17. https://doi.org/10.1016/j.ijgo.2008.08.024
Kandasamy, Tharani ; Merialdi, Mario ; Guidotti, Richard J. ; Betrán, Ana P. ; Requejo, Jennifer Harris ; Hakimi, Farima ; Van Look, Paul F. ; Kakar, F. / Cesarean delivery surveillance system at a maternity hospital in Kabul, Afghanistan. In: International Journal of Gynecology and Obstetrics. 2009 ; Vol. 104, No. 1. pp. 14-17.
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