@article{fdi:010078783,
  title = {{C}aesarean section in {B}enin and {M}ali : increased recourse to technology due to suffering and under-resourced facilities},
  author = {{S}chantz, {C}. and {A}boubakar, {M}. and {T}raor{\'e}, {A}.{B}. and {R}avit, {M}. and {L}oenzien, {M}yriam de and {D}umont, {A}lexandre},
  editor = {},
  language = {{ENG}},
  abstract = {{I}n line with policies to combat maternal mortality, the medicalization of childbirth is increasing in low-income countries, while access to healthcare services remains difficult for many women. {H}igh caesarean section rates have been documented recently in hospitals in {M}ali and {B}enin, illustrating an a-priori paradoxical situation, compared with low caesarean section rates in the population. {T}hrough a qualitative approach, this article aims to describe the practice of caesarean section in maternity wards in {B}amako and {C}otonou. {W}orkshops with obstetricians and midwives; participant observation inside labour rooms; and in-depth interviews with caregivers, patients and policy makers have indicated increased recourse to caesarean section due to women's and caregivers'suffering and under-resourced facilities. {W}ithin these procedures, two types of caesarean section were documented :'maternal distress caesarean section'and 'preventive caesarean section'. {T}he main reasons for these caesarean sections are maternal fear and pain, and a lack of resources. {I}nadequately resourced facilities lead to staff suffering and ethical breakdowns, and encourage the inappropriate use of technology. {T}he policy of access to free caesarean section procedures exacerbates the issue of non-medically-justified caesarean sections in these countries. {T}he overuse of caesarean section is particularly alarming in countries with high fertility as it constitutes a danger to both mothers and babies in the short and long term. {C}urrently, conditions are in place in {B}enin and {M}ali for an increase in non-medically-justified caesarean sections. {I}n the short term, such an increase could constitute anew burden for these two sub-{S}aharan countries, where maternal mortality is high.},
  keywords = {{BENIN} ; {MALI} ; {COTONOU} ; {BAMAKO}},
  booktitle = {},
  journal = {{R}eproductive {B}iomedecine and {S}ociety {O}nline},
  volume = {10},
  numero = {},
  pages = {10--18},
  ISSN = {2405-6618},
  year = {2020},
  DOI = {10.1016/j.rbms.2019.12.001},
  URL = {https://www.documentation.ird.fr/hor/fdi:010078783},
}