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SUB-SAHARAN AFRICA'S NEED FOR CAESAREAN SECTIONS
October 17, 2001The observed rate of cesarean section in west African women is 1-3%, conclude authors of a systematic review in this week's of The Lancet.
Caesarean sections are considered to be necessary in about 5-15% of women in more-developed countries. In sub-Saharan Africa the rate of caesarean section operations is thought to be about 1%, mainly due to lack of facilities. Death rates in mothers and in babies are high.
The authors state that, "Future studies should compare caesarean section ratesand assess the effect of obstetric guidelines on caesarean section rates. This information can be used for improvement of caesarean sections by hospitals in less-developed countries".
In an accompanying Commentary (page 1289), Friday Okonofua from the University of benin, Nigeria, states that "Alexandre Dumont and his colleagues have now quantified the level of caesarian sections necessary for dealing with obstetric complications in west AfricaTheir findings support the notion that poor access to emergency obstetrics is a huge problem.."
Lancet
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