Table 5.
Changes in selected indicators in Tete Provincial Hospital, 2015–2016
| Jan-Mar 2015 | Apr-Sep 2015 | Oct 2015-Mar 2016 | Apr-Sep 2016 | Evolution 2015–2016 | |
|---|---|---|---|---|---|
| Number (percentage) of institutional births in the province which occurred in the provincial hospital | 1400 (8.4%) | 2630 (6.6%) | 2455 (5.8%) | 2199 (3.9%) | (−53.6%) |
| Intra-hospital caesarean section rate | 23.1% | 24.2% | 25.2% | 29.1% | 26.0% |
| Percentage of caesarean sections considered inevitablea | 23.5% | 29.2% | 28.6% | 35.2% | 49.8% |
| Percentage of caesarean sections considered inevitable after referral from peripherya | 23.8% | 32.8% | 30.7% | 35.8% | 50.4% |
| Percentage of caesarean sections with intra-uterine foetal death (percentage considered inevitablea) | 10.2% (44.8%) | 8.2% (64.4%) | 8.0% (68.2%) | 12.1% (71.4%) | 18.6% (59.4%) |
| Number of readmissions after caesarean section for wound dehiscence (percentage of caesarean sections performed) | 13 (4.0%) | 4 (0.6%) | 4 (0.6%) | 6 (0.9%) | (−77.5%) |
| Percentage of caesarean sections on nulliparous women with a single, term foetus in cephalic presentation (Robson classification 1) | 41.8% | 39.1% | 32.7% | 32.2% | −23.0% |
| Percentage of repeat caesarean sections (Robson classification 5) | 25.3% | 23.7% | 28.4% | 28.3% | 11.9% |
| Percentage of asphyxiated newborns after caesarean section (Apgar score at 5 min < 7) | 9.4% | 5.8% | 9.4% | 8.1% | −13.8% |
| Intra-hospital maternal mortality rate per 100,000 intra-hospital childbirths (proportion of total provincial maternal deaths) | 71 (8.3%) | 456 (57.1%) | 937 (71.9%) | 364 (72.7%) | 412.7% (775.9%) |
| Intra-hospital stillbirth rate per 1000 newborns in the hospital (proportion of total provincial stillbirths) | 58.2 (29.3%) | 37.8 (18.5%) | 53.2 (22.0%) | 60.5 (27.5%) | 3.9% (−6.1%) |
aa caesarean section was considered inevitable in case of lack of progress after artificial rupture of membranes and augmentation with oxytocin, repeated failed induction of labour with misoprostol, failed attempt at vacuum extraction, two or more previous caesarean sections, placental abruption, non-cephalic presentation with present foetal heartbeat, ruptured uterus, placenta praevia, or cord prolapse with present foetal heartbeat, as documented in the clinical files