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dc.contributor.authorvan Duinen, Aalke Johan
dc.contributor.authorWestendorp, Josien
dc.contributor.authorKamara, Michael M
dc.contributor.authorForna, Fatu
dc.contributor.authorHagander, Lars
dc.contributor.authorLeather, Andy J.M.
dc.contributor.authorWibe, Arne
dc.contributor.authorBolkan, Håkon Angell
dc.contributor.authorRijken, Marcus J.
dc.identifier.citationInternational Journal of Gynecology & Obstetrics. 2020, 150 (2), 213-221.en_US
dc.description.abstractObjective To analyze the indications for cesarean deliveries and factors associated with adverse perinatal outcomes in Sierra Leone. Methods Between October 2016 and May 2017, patients undergoing cesarean delivery performed by medical doctors and associate clinicians in nine hospitals were included in a prospective observational study. Data were collected perioperatively, at discharge, and during home visits after 30 days. Results In total, 1274 cesarean deliveries were included of which 1099 (86.3%) were performed as emergency surgery. Of the 1376 babies, 261 (19.0%) were perinatal deaths (53 antepartum stillbirths, 155 intrapartum stillbirths, and 53 early neonatal deaths). Indications with the highest perinatal mortality were uterine rupture (45 of 55 [81.8%]), abruptio placentae (61 of 85 [71.8%]), and antepartum hemorrhage (8 of 15 [53.3%]). In the group with cesarean deliveries performed for obstructed and prolonged labor, a partograph was filled out for 212 of 425 (49.9%). However, when completed, babies had 1.81‐fold reduced odds for perinatal death (95% confidence interval 1.03–3.18, P‐value 0.041). Conclusion Cesarean deliveries in Sierra Leone are associated with an exceptionally high perinatal mortality rate of 190 per 1000 births. Late presentation in the facilities and lack of adequate fetal monitoring may be contributing factors.en_US
dc.publisherJohn Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetricsen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titlePerinatal outcomes of cesarean deliveries in Sierra Leone: A prospective multicenter observational studyen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.source.journalInternational Journal of Gynecology & Obstetricsen_US
dc.description.localcodeThis is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.en_US

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal