Table 5 Percent or percent distribution of cesarean deliveries reviewed according to administration of prophylactic uterotonics and antibiotics, use of partograph, time interval between decision and operation, type of anesthesia and practitioner and fetal outcomes, by managing authority and year of assessment
| Â | All cesareans reviewed | Managing authority | ||||||
|---|---|---|---|---|---|---|---|---|
Public | Private-for-profit | Not-for-profit | ||||||
2008 | 2016 | 2008 | 2016 | 2008 | 2016 | 2008 | 2016 | |
n = 275 | n = 568 | n = 209 | n = 409 | n = 45 | n = 127 | n = 21 | n = 32 | |
Prophylactic uterotonics administered after baby delivered | na | 50% | na | 52% | na | 46% | na | 41% |
Prophylactic antibiotics administereda | 87% | 94% | 86% | 94% | 93% | 91% | 85% | 94% |
Partograph use among women with non-elective cesareans | n = 211 | n = 499 | n = 172 | n = 383 | n = 22 | n = 86 | n = 17 | n = 30 |
 Partograph used | 11% | 35% | 9% | 42% | 0% | 6% | 47% | 27% |
 Partograph not used | 88% | 55% | 90% | 49% | 100% | 78% | 53% | 60% |
 Planned elective went into labor | na | 6% | na | 5% | na | 9% | na | 7% |
 No information | 1% | 4% | 1% | 4% | 0% | 7% | 0% | 6% |
Time interval between decision and operationb | n = 82 | n = 148 | n = 64 | n = 130 | n = 11 | n = 9 | n = 7 | n = 9 |
 Mean (minutes) | 310 | 210 | 277 | 202 | 441 | 308 | 289 | 232 |
 Median (minutes) | 56 | 76 | 60 | 80 | 45 | 60 | 30 | 45 |
Type of anesthesia used | ||||||||
 Spinal/epidural (1 case) | na | 59% | na | 60% | na | 49% | na | 81% |
 General | na | 28% | na | 24% | na | 36% | na | 9% |
 Ketamine | na | 4% | na | 5% | na | 2% | na | 6% |
 No information | na | 9% | na | 8% | na | 13% | na | 3% |
Type of surgeon | ||||||||
 Ob/gyn | na | 41% | na | 25% | na | 88% | na | 69% |
 General surgeon | na | 31% | na | 38% | na | 7% | na | 25% |
 ESO | na | 21% | na | 29% | na | 0% | na | 3% |
 Health officer | na | 3% | na | 4% | na | 0% | na | 0% |
 General practitioner | na | 1% | na | 2% | na | 0% | na | 3% |
 MSC midwife | na | 1% | na | 1% | na | 0% | na | 0% |
 No information | na | 2% | na | 1% | na | 5% | na | 0% |
Fetal Outcomes | n = 275 | n = 566 | n = 209 | n = 409 | n = 45 | n = 125 | n = 21 | n = 32 |
 Live birth | 79% | 95% | 78% | 94% | 93% | 93% | 71% | 91% |
 Stillbirth | 9% | 2% | 11% | 3% | 2% | 2% | 5% | 3% |
 Neonatal death | 5% | < 1% | 5% | 0% | 4% | 0% | 5% | 0% |
 Live birth + death | 2% | < 1% | 2% | 0% | 0% | 0% | 0% | 0% |
 No information | 5% | 3% | 5% | 2% | 0% | 6% | 19% | 6% |