کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3954946 | 1600405 | 2009 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Cesarean delivery surveillance system at a maternity hospital in Kabul, Afghanistan Cesarean delivery surveillance system at a maternity hospital in Kabul, Afghanistan](/preview/png/3954946.png)
ObjectiveTo use an active facility-based maternal and newborn surveillance system to describe cesarean delivery practices and outcomes in a resource-poor setting.MethodsUsing 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.ResultsThe 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.ConclusionThe 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.
Journal: International Journal of Gynecology & Obstetrics - Volume 104, Issue 1, January 2009, Pages 14–17