TITLE:
Vaginal Caesarean Section: A Review of Indications in Mali
AUTHORS:
Famakan Kane, Soumaila Diallo, Soumana Boire, Alima Sidibe, Jean Martin Zino, Baba Bah, Sadio Camara, Lassina Ibringo, Moussa Abdoulaye Diarra, Bourama Lassina Dembele, Mahamadou Diassana, Tidiane Traore
KEYWORDS:
Vaginal Cesarean, Indications, Mali
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.6,
June
28,
2023
ABSTRACT: Introduction: The vaginal caesarean described since the 19th century remains unknown to many practitioners. The publications available on the
subject are rare. The objective of this
review is to report the experience of our team in Mali on vaginal cesarean
section. Materials
and Methods: This is a documentary review of a series of 5 cases on the practice of vaginal
caesarean section at the Sominé Dolo Hospital and Reference Health Center of
the Sanitary District of Bla in Mali between
2005 and 2022. Results: We performed a vaginal caesarean section on 5 patients in this series. The indications were retroplacental hematoma in 2/5 cases including 1 with a live
fetus, eclampsia crisis in 1/5 cases,
dystocia on uterine prolapse in 1/5 cases and beating cord prolapse in 1/5
cases. In the 5 cases, the
pregnancy was not at term. In 3/5 cases, cesarean section was indicated to save
the non-term fetus with a very low possibility of success by
classic cesarean section and in 2/5 cases for maternal rescue with fetal death in utero. 2 live newborns were released in satisfactory condition, 1 died
after 6 hours of life. Antibiotic therapy was
not necessary in the majority of cases. The average length of
hospitalization was 3 days. Conclusion: The circumstances of the realization
of the vaginal cesarean section in our series of studies remain frequent in the practice of modern obstetrics. The short duration
of hospitalization and the low use of antibiotics can contribute to the
reduction of the medical cost of caesarean
section in low-income countries, such as Mali.