Table 1.
Profile of caesarean deliveries by type of provider, Burkina Faso, 2004–2005
|
Type of providers Characteristics |
Obstetricians N = 1020* |
Trained doctors N = 552* |
Clinical officers N = 733* |
| Place (% within facilities) | |||
| National hospitals | 53 | 3 | 0 |
| Regional hospitals | 17 | 2 | 41 |
| District hospitals | 30 | 95 | 59 |
| District hospitals (% rural versus urban) | |||
| Urban** | 86 | 5 | 27 |
| Rural | 14 | 95 | 73 |
| Mother's age | |||
| Median (IQR) | 25 (10) | 24 (12) | 25 (12) |
| Indication of surgical procedure (%) | |||
| Saving mother's life | 74 | 75 | 81 |
| Saving baby's life | 24 | 21 | 17 |
| Other | 2 | 4 | 2 |
| Mothers' reported conditions (%) | |||
| Obstructive labour | 39 | 51 | 53 |
| Ruptured uterus | 11 | 7 | 11 |
| Eclampsia | 7 | 1 | 2 |
| Haemorrhage | 5 | 6 | 6 |
| Other | 38 | 35 | 28 |
| Type of anaesthesia (%) | |||
| General | 81 | 30 | 59 |
| Spinal anaesthesia | 19 | 70 | 41 |
| Referral status (%) | |||
| Referred from other facilities | 85 | 77 | 71 |
| Referred by provider to higher level facility | 15 | 23 | 29 |
| Duration of caesarean-section (minutes) | |||
| Mean (SD) | 46 (20) | 57 (27) | 53 (23) |
| Duration of post operative hospital stay (days) | |||
| Mean (SD) | 6 (5) | 9 (5) | 9 (6) |
| Post operative complications (/000) | |||
| Haemorrhage | 15 | 18 | 20 |
| Wound infection | 11 | 4 | 14 |
| Wound dehiscence | 4 | 0 | 1 |
* Counts were for a complete year at district hospitals.
** Only three districts (all urban) had obstetricians at the time of the survey, and only one (District Secteur 30) was fully functional with regard to obstetric surgery. A quarter of the caesarean delivery case notes were extracted by the data collection team.