Quality of caesarean delivery services and documentation in first-line referral facilities in Afghanistan: a chart review

Table 2 Percent distribution of CS cases by indication, according to maternal and fetal outcomes

Indication	Live birth (N = 136)		Maternal death (N = 27)		Early neonatal death (N = 3)*		Stillbirth (N = 30)**
	N	%	N	%	N	%	N	%
All maternal indications	86	63.0	14	51.9	0	0.0	16	53.3
Placenta praevia/abruption	18	13.3	11	40.7	0	0.0	12	40.0
Maternal distress	3	2.2	2	7.4	0	0.0	1	3.3
Previous scar	14	10.3	0	0.0	0	0.0	0	0.0
Eclampsia/severe pre-eclampsia	7	5.2	0	0.0	0	0.0	0	0.0
CPD/prolonged labor	43	31.9	1	3.7	0	0.0	3	10.0
Vesico-vaginal fistula	1	0.7	0	0.0	0	0.0	0	0.0
All fetal indications	39	28.9	11	40.7	3	100.0	10	33.3
Cord prolapse/presentation	1	0.7	2	7.4	0	0.0	2	6.7
Fetal distress	19	14.1	1	3.7	1	33.3	1	3.3
Malpresentation	18	12.9	8	29.6	2	66.6	7	23.3
Multiple gestation	1	0.7	0	0.0	0	0.0	0	0.0
No information	11	8.1	2	7.4	0	0.0	4	13.3

Fetal outcomes were unknown in 5 CS cases
*Twins with mixed outcomes accounted for one early neonatal death; the indication was fetal distress
**Twins with mixed outcomes accounted for two stillbirths; the indication for both was malpresentation

ISSN: 1471-2393