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Table 1 Women’ characteristics, by time period, n (%) (Senegal and Mali, October 2007-October 2008)

From: Individual and institutional determinants of caesarean section in referral hospitals in Senegal and Mali: a cross-sectional epidemiological survey

 

Period 1

(n=45 261)

Period 2

(n=41 244)

All women

(n=86 505)

Age ≥35 years

6 633 (15)

5 704 (14)

12 337 (14)

Nulliparous

16 319 (36)

13 769 (33)

30 088 (35)

Previous caesarean section

3 119 (7)

3 082 (7)

6 201 (7)

Current pregnancy

   

Multiple pregnancy

1 640 (4)

1 759 (4)

3 399 (4)

Hypertensive disorders*

3 197 (7)

2 874 (7)

6 071 (7)

Vaginal bleeding (near full term)

1 497 (3)

1 616 (4)

3 113 (4)

Suspected cephalopelvic-disproportion**

99 (0.2)

114 (0.3)

213 (0.2)

Suspected intrauterine death

844 (2)

696 (2)

1 540 (2)

Premature rupture of the membranes

1 805 (4)

1 278 (3)

3 083 (4)

Referral from another hospital

11 021 (24)

10 579 (26)

21 600 (25)

Labour

   

Premature labour

620 (1)

625 (1)

1 245 (1)

Oxytocin use

1 321 (3)

1 180 (3)

2 501 (3)

Mode of delivery

   

Vaginal delivery

   

Spontaneous

35 756 (79)

31 857 (77)

67 613 (79)

Operative

920 (2)

914 (2)

1 834 (2)

Caesarean section £

   

Emergency

1 438 (3)

1 233 (3)

2 671 (3)

Intrapartum

6 044 (13)

6 382 (16)

12 446 (14)

Elective

1 083 (3)

858 (2)

1 941 (2)

  1. *Chronic hypertension, gestational hypertension, pre-eclampsia, eclampsia or HELLP syndrome. **Suspected cephalopelvic-disproportion reported as “excessive fundal-height” or “pathologic pelvis”. £CS accounted for 19.8% (95% CI: 19.4–20.0) of all deliveries, with a higher rate in Senegal (20.9%, 95% CI: 20.5–21.3) than in Mali (18.5%, 95% CI: 18.1–18.8). The majority of CS involved intrapartum delivery (73%), whereas emergency and elective CS represented 16% and 11%, respectively.