Rapaport Sarah, Ngude Hilary, Chen Chi Chiung Grace, Abbas Mohamed, Lekey Amber, Winch Peter J, Sakran Joseph V, Stevens Kent A, Enumah Zachary Obinna
Global Surgery Initiative, Department of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Tanzania Red Cross Society, Dar es Salaam, Tanzania.
Afr Health Sci. 2024 Dec;24(4):206-213. doi: 10.4314/ahs.v24i4.27.
Half of the 35.3 million refugees worldwide are women and a third are of childbearing age, making reproductive healthcare in humanitarian settings indispensable. Caesarean section (CS) is the most common operation worldwide, accounting for 18.6% of births.
This study provides a descriptive analysis of caesarean sections (CS) in a protracted refugee setting.
This study is a retrospective review of CS recorded in logbooks between November 2000 and September 2020, inclusive. Data was abstracted from paper logbooks and included date, nationality, sex, age, and indication. Analysis was performed in STATA.
8,461 CS were performed over the 20-year period. The average age was 24.6 years. Tanzanian patients made up 25% (n=2,116) of the population. The most common indications for CS for both Tanzanians and refugees were cephalopelvic disproportion (CPD), previous scar, and fetal distress. There was a significant difference in the proportion of adolescent and adult patients for the indications of CPD, previous scar, fetal distress, malposition, placenta previa, prolapse, and antepartum hemorrhage (APH).
There is a significant amount of CS performed in this humanitarian setting. Refugees and Tanzanians utilize these services. Outcome data are needed to identify if CS in this setting reduces neonatal and maternal morbidity and mortality.
American Society of Tropical Medicine and Hygiene; Ruth L. Kirschstein National Research Service Award T32 (Award: 2T32AR67708-6); Association for Academic Surgery.
全球3530万难民中有一半是女性，三分之一处于育龄期，这使得在人道主义背景下提供生殖健康护理变得不可或缺。剖宫产是全球最常见的手术，占分娩总数的18.6%。
本研究对长期存在的难民环境中的剖宫产情况进行描述性分析。
本研究是对2000年11月至2020年9月（含）期间登记册中记录的剖宫产进行的回顾性研究。数据从纸质登记册中提取，包括日期、国籍、性别、年龄和手术指征。使用STATA进行分析。
在这20年期间共进行了8461例剖宫产。平均年龄为24.6岁。坦桑尼亚患者占总人数的25%（n = 2116）。坦桑尼亚人和难民剖宫产最常见的指征是头盆不称（CPD）、既往手术瘢痕和胎儿窘迫。青少年和成年患者在CPD、既往手术瘢痕、胎儿窘迫、胎位异常、前置胎盘、脱垂和产前出血（APH）指征方面的比例存在显著差异。
在这种人道主义环境中进行了大量的剖宫产手术。难民和坦桑尼亚人都利用了这些服务。需要结局数据来确定这种情况下的剖宫产是否能降低新生儿和孕产妇的发病率及死亡率。
美国热带医学与卫生学会；露丝·L·基尔希斯坦国家研究服务奖T32（奖项：2T32AR67708 - 6）；学术外科协会。
