Résultats néonatals de l'accouchement par césarienne dans deux hôpitaux aux ressources limitées, au Cameroun
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Les résultats néonatals peuvent être directement et indirectement affectés par l'accouchement par césarienne (AC). Les données sur les taux d'accouchement par césarienne dans les hôpitaux semi-urbains et ruraux aux ressources limitées sont rares et pourtant nécessaires pour mieux guider les soins aux femmes et aux nouveau-nés dans ces contextes. Nous avons mené une étude transversale rétrospective et prospective en milieu hospitalier en utilisant des méthodes descriptives et analytiques sur une période de neuf mois en 2014 dans deux hôpitaux à ressources limitées au Cameroun. 199 nouveau-nés atteints de MC ont été recrutés pour l'étude. La prévalence de la DC était de 13,3 %, la disproportion céphalopelvienne étant l'indication la plus fréquente (32,2 %) de la DC. Il y a eu 52 (26,1 %) ANO à la suite d'un accouchement par voie basse et la détresse respiratoire a été la plus fréquente de toutes les ANO, soit 24 (46,2 %). Les indications d'urgence pour la DC étaient associées à plus d'OAN 49 (34,5 %) que les indications électives pour la DC 3 (5,3 %). La prévalence de l'OAN associée à la MC dans nos hôpitaux était élevée et le pronostic inquiétant. Bien que les raisons exactes soient inconnues, la création d'unités néonatales bien équipées et dotées d'un personnel formé peut contribuer à réduire la morbidité et la mortalité néonatales.
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