Caesarean sections, indications and outcomes: a cross-sectional study using the Robson classification in a tertiary hospital in Sierra Leone
Our data reveals a notably high CS rate, particularly among low-risk groups according to the Robson classification. Interpretation must consider PCMH as a referral hospital within an extremely low-resourced healthcare system, centralising all the complicated deliveries from a vast catchment area. Further research is required to assess the impact of referred obstetrical complications on the CS rate and the feasibility of implementing measures to improve the management of women with dystocia and previous CS.
Authors
- Sonia Boyle
- Giovanni Putoto (ORCID: https://orcid.org/0000-0003-0256-1744)
- Beatrice Sgorbissa (ORCID: https://orcid.org/0000-0002-3215-9919)
- Valerie John-Cole
- Claudia Caracciolo
- Michele Orsi (ORCID: https://orcid.org/0000-0001-5219-4909)
- Carlo Saccardi (ORCID: https://orcid.org/0000-0001-7476-997X)
- Ana Pilar Betrán (ORCID: https://orcid.org/0000-0002-5631-5883)
- Francesca Tognon (ORCID: https://orcid.org/0000-0001-6649-1525)
- Fabio Manenti (ORCID: https://orcid.org/0000-0002-6967-6813)
- Abibatu K. Kamara
- M Arata
Institutions
- University of Padua (IT)
- University of Sierra Leone (SL)
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT)
- Ministry of Health and Sanitation (SL)
- World Health Organization (CH)
- Doctors with Africa Cuamm (IT)
Publication Details
- Journal
- BMJ Open
- Published
- 2024-09-01
- DOI
- https://doi.org/10.1136/bmjopen-2023-081143
- Citations
- 3
- Primary Topic
- Maternal and Perinatal Health Interventions
- Type
- article
- Field-Weighted Citation Impact
- 1.75
Funders
- World Health Organization