Journal of Women's Health Care
Open Access
ISSN: 2167-0420
+44-7360-538437
ISSN: 2167-0420
+44-7360-538437
Augustin Zongo
Research Institute for Development,
Université Paris Descartes, Sorbonne Paris Cité,UMR 216, Paris
France
Research Article
Trends in Institutional Caesarean Delivery among Low-Risk Patients in Senegal and Mali: Secondary Analysis of a Cluster-Randomized Trial (Quarite)
Author(s): Augustin Zongo, Séni Kouanda, Pierre Fournier, Mamadou Traore, Blaise Sondo and Alexandre DumontAugustin Zongo, Séni Kouanda, Pierre Fournier, Mamadou Traore, Blaise Sondo and Alexandre Dumont
Objective: To measure the trends of institutional caesarean rates in Senegal and Mali and to assess if these trends were modified by the Advances in Labour and Risk Management (ALARM) international program.
Methods: We conducted a secondary analysis of the QUARITE trial to examine the trends in caesarean delivery among low-risk patients in 46 hospitals which were randomized into an intervention group (n = 23) and a control group (n = 23). ALARM combined maternal death reviews and continuous medical education to improve the quality of obstetric care.
Results: Between the pre-intervention period and the post-intervention period, the institutional caesarean rate among low-risk patients increased from 17.1% to 18.6% in the intervention hospitals (adjusted OR=1.03; 95% CI =0.89-1.15) and from 16.1% to 21.1% in the contr.. View More»
DOI:
10.4172/2167-0420.1000192