@article{fdi:010062298,
  title = {{A}udit of cesarean delivery in {B}urkina {F}aso},
  author = {{K}ouanda, {S}. and {C}oulibaly, {A}. and {O}uedraogo, {A}. and {M}illogo, {T}. and {M}eda, {B}. {I}. and {D}umont, {A}lexandre},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective: {T}o assess the level and determinants of unnecessary cesarean delivery. {M}ethods: {I}n a retrospective study, the medical charts were reviewed for 300 low-risk women who underwent intrapartum cesarean delivery at 10 referral hospitals in {B}urkina {F}aso between {M}ay 2009 and {A}pril 2010. {I}n this context, cesarean deliveries were delegated to clinical officers who have less training than doctors. {R}esults: {A}mong the 300 study patients, 223 women (743%) were referred from primary healthcare facilities. {T}he reason for referral was not medically justified for 35 women. {C}esarean was performed by a gynecologist-obstetrician (46.0%), a trained doctor (35.0%), or a clinical officer (19.0%). {A}cute fetal distress and fetopelvic disproportion were the main indications recorded for intrapartum cesarean delivery. {T}hese diagnoses were not confirmed by an obstetrician-gynecologist in 12.0% of cases. {C}linical officers were associated with a higher risk of unnecessary cesarean delivery compared with gynecologist-obstetricians by multivariate analysis (odds ratio, 4.46; 95% confidence interval, 1.44-13.77; {P} = 0.009). {C}onclusion: {V}erification of cesarean indications by highly qualified personnel (i.e. second opinion), in-service training, and supervision of health workers in primary healthcare facilities might improve the performance of the referral system and help to reduce unnecessary cesarean deliveries in {B}urkina {F}aso.},
  keywords = {{L}ow-resource settings ; {T}ask shifting ; {U}nnecessary cesarean delivery ; {BURKINA} {FASO}},
  booktitle = {},
  journal = {{I}nternational {J}ournal of {G}ynecology and {O}bstetrics},
  volume = {125},
  numero = {3},
  pages = {214--218},
  ISSN = {0020-7292},
  year = {2014},
  DOI = {10.1016/j.ijgo.2013.11.010},
  URL = {https://www.documentation.ird.fr/hor/fdi:010062298},
}