A prospective study of maternal, fetal and neonatal outcomes in the setting of cesarean section in low- and middle-income countries.
Margo S HarrisonOmrana PashaSarah SaleemSumera AliElwyn ChombaWaldemar A CarloAna L GarcesNancy F KrebsK Michael HambidgeShivaprasad S GoudarBhala KodkanySangappa DhadedRichard J DermanArchana PatelPatricia L HibberdFabian EsamaiEdward A LiechtyJanet L MooreDennis WallaceElizabeth M McClureMenachem MiodovnikMarion Koso-ThomasJose BelizanAntoinette K TshefuMelissa BausermanRobert L GoldenbergPublished in: Acta obstetricia et gynecologica Scandinavica (2017)
CS rates increased across all sites during the study period, but at more pronounced rates in the non-African sites. CS was associated with reduced postpartum hemorrhage and lower rates of stillbirths in the non-African sites. In the African sites, CS was associated with an increase in all adverse outcomes. Further studies are necessary to better understand the increase in adverse outcomes with CS in the African sites.