Introduction: Caesarean sections done in emergency situation are an important source of maternal and perinatal morbidity and mortality in Africa. Our aim is to identify risk factors for Caesarean section in primiparous patients at the Oïcha General Referral Hospital in the Democratic Republic of the Congo.
Materials and methods: This was a case-control documentary study conducted from April 1 to September 30, 2012 on a sample of 686 primiparous. Inclusion criteria: admission at the start of labor with term pregnancy, single fetus in top cephalic presentation, fetal heart sound in standards, followed by partogram.
Variables explained: caesarean section, low Apgar score, drawling work; Explanatory variables: age, height, body mass index at the beginning of pregnancy, angle adjacent to the hypotenuse calculated at the end of the period of cervical dilatation.
Description of the variables: calculation of the frequency, percentage, averages and their standard deviations. Association between explained and explanatory variables: tested in bi-varied analysis by the Pearson chi-square (p <0.05 at the 95% threshold); Strength of association by multivariate analysis of significant predictive factors (p <0.05) with conditional logistic regression.
Conclusion: The angle adjacent to the hypotenuse is a critical risk factor for Caesarean section, low Apgar score and work dragging when it remains below 45°. Find to it a corrective factor at this stage of labor could improve maternal and neonatal prognosis.
Impact Factor
2017: 6.614
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