Disclosing possible nonmedically indicated cesarean sections in 5 high-volume urban maternity units in Tanzania: a criterion-based clinical audit
Two in 5 cesarean sections were categorized as nonmedically indicated at time of decision. Particularly, fear of poor outcomes and delay in accessing emergency surgery may cause resource-consuming "defensive decision-making" for cesarean section. Investments in conducive urban maternity units are crucial to ensure safe vaginal births and to reach a population-based approach that provides best possible timely care for all with the limited resources available.
Authors
- Dan Wolf Meyrowitsch (ORCID: https://orcid.org/0000-0003-1108-8987)
- Monica Lauridsen Kujabi (ORCID: https://orcid.org/0000-0002-2901-3417)
- Sarah G. Hansen (ORCID: https://orcid.org/0000-0002-9477-3578)
- Natasha Housseine (ORCID: https://orcid.org/0000-0002-1849-7815)
- Kidanto Hussein
- Rikke Damkjær Maimburg (ORCID: https://orcid.org/0000-0003-1776-5475)
- Luzango Maembe
- Nanna Maaløe (ORCID: https://orcid.org/0000-0002-3443-1277)
- Thomas van den Akker (ORCID: https://orcid.org/0000-0002-9890-9145)
- Brenda Sequeira Dmello (ORCID: https://orcid.org/0000-0002-1550-248X)
- Rukia Msumi
- Idrissa Kabanda
- Mtingele Sangalala
- Anna Macha
- Manyanga Hudson
Institutions
- Leiden University (NL)
- Aarhus University (DK)
- Leiden University Medical Center (NL)
- Hvidovre Hospital (DK)
- Aarhus University Hospital (DK)
- Aga Khan Hospital Dar es Salaam (TZ)
- Copenhagen University Hospital (DK)
- University College of Northern Denmark (DK)
- University College Copenhagen (DK)
- National Institute of Transport (TZ)
- Aga Khan University (TZ)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
Publication Details
- Journal
- AJOG Global Reports
- Published
- 2024-12-21
- DOI
- https://doi.org/10.1016/j.xagr.2024.100437
- Primary Topic
- Maternal and Perinatal Health Interventions
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Aarhus Universitet
- Danida Fellowship Centre
- Aarhus Universitets Forskningsfond
- Udenrigsministeriet