Timing of cesarean section for prolonged labor in urban Tanzania: A criterion-based audit

Almost half of cesarean deliveries in unscarred uteri were because of prolonged labor. Despite a written indication of prolonged labor, approximately half of the cases did not have prolonged labor. Although care in low-resource settings has traditionally been categorized as "too little, too late," this study finds care as "too much, too soon" in one of the world's fastest-growing urban areas. This finding highlights the inadequacy of one-size-fits-all approaches in curbing the increases in cesarean delivery occurring in (pockets of) low-resource settings. Our study calls for ways to respectfully allow more time for physiological labor progression in busy high-volume maternity units where many births occur.

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Publication Details

Journal
AJOG Global Reports
Published
2024-10-10
DOI
https://doi.org/10.1016/j.xagr.2024.100404
Citations
1
Primary Topic
Maternal and Perinatal Health Interventions
Type
article
Field-Weighted Citation Impact
0.58

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article

Timing of cesarean section for prolonged labor in urban Tanzania: A criterion-based audit

Dan Wolf Meyrowitsch, Andreas Kryger Jensen, Monica Lauridsen Kujabi, Sarah G. Hansen et al.
1 citations
AJOG Global Reports
Maternal and Perinatal Health Interventions
0.58
article

Timing of cesarean section for prolonged labor in urban Tanzania: A criterion-based audit

Dan Wolf Meyrowitsch, Andreas Kryger Jensen, Monica Lauridsen Kujabi, Sarah G. Hansen, Natasha Housseine, Flemming Konradsen, Kidanto Hussein, Luzango Maembe, Nanna Maaløe, Thomas van den Akker, Brenda Sequeira Dmello, Rukia Msumi, Idrissa Kabanda, Mtingele Sangalala, Anna Macha, Manyanga Hudson
article en
1 citations

Abstract

Almost half of cesarean deliveries in unscarred uteri were because of prolonged labor. Despite a written indication of prolonged labor, approximately half of the cases did not have prolonged labor. Although care in low-resource settings has traditionally been categorized as "too little, too late," this study finds care as "too much, too soon" in one of the world's fastest-growing urban areas. This finding highlights the inadequacy of one-size-fits-all approaches in curbing the increases in cesarean delivery occurring in (pockets of) low-resource settings. Our study calls for ways to respectfully allow more time for physiological labor progression in busy high-volume maternity units where many births occur.

AJOG Global ReportsVol. 4(4)
University of Copenhagen (DK), Aarhus University (DK), Leiden University Medical Center (NL), Novo Nordisk Foundation (DK), Hvidovre Hospital (DK), Aarhus University Hospital (DK), Aga Khan Hospital Dar es Salaam (TZ), University College Copenhagen (DK), Ministry of Health, Community Development, Gender, Elderly and Children (TZ), Aga Khan University (TZ), Regional Hospital Randers (DK), Vrije Universiteit Amsterdam (NL)
Danida Fellowship Centre, Laerdal Foundation for Acute Medicine, Udenrigsministeriet
Decent work and economic growth
Openalex Percentile: Top 27%
Maternal and Perinatal Health Interventions
0.58
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