Table 5 Changes in selected indicators in Tete Provincial Hospital, 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 inevitable^a

23.5%

29.2%

28.6%

35.2%

49.8%

Percentage of caesarean sections considered inevitable after referral from periphery^a

23.8%

32.8%

30.7%

35.8%

50.4%

Percentage of caesarean sections with intra-uterine foetal death (percentage considered inevitable^a)

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%)