Evaluation of urgent caesarian according to colour code at the Befelatanana University Hospital Centre of Obstetric Gynecology in Antananarivo Madagascar

Authors

  • Randriamahavonjy Romuald Department of Gynecology-Obstetrics, Soavinandriana Hospital Center, Antananarivo, Madagascar
  • Rakotozanany Besaina Department of Gynecology-Obstetrics, Befelatanana University Hospital Centre of Obstetric Gynecology in Antananarivo, Madagascar
  • Ibrahim Housni Department of Gynecology-Obstetrics, Befelatanana University Hospital Centre of Obstetric Gynecology in Antananarivo, Madagascar
  • Rakotonirina Martial Department of Gynecology-Obstetrics, Befelatanana University Hospital Centre of Obstetric Gynecology in Antananarivo, Madagascar
  • Rakotoson Koloina Tiphaine Departement of Gynecology-Obstetrics, Faculty of Medicine, Antananarivo, Madagascar
  • Hery Rakotovao Andrianampanalirivo Departement of Gynecology-Obstetrics, Faculty of Medicine, Antananarivo, Madagascar

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20192407

Keywords:

Caesarian section, Delay indication birth, Emergency, Forecast

Abstract

Background: Color code was described for the first time in 2003 was described for the first time in 2003 by since and al. The objective of this study was to accomplish urgent caesarian sections according to color code over delays indications-births (DIN) in Motherhood Befelatanana, Antananarivo, Madagascar.

Methods: It was about a longitudinal prospective, analytical study of caesarian sections performed in emergency in CHUGOB going from June 1st till December 31st, 2017.

Results: Authors took a census 193 caesarian sections of emergency. Among these patients 28 (14.50%) had a caesarian section encode red, 42 (21.76%) an orange code and 123 (63.73%) a green code. The medium age of the patients was of 26.4 years and that of the gestation was of 37SA and 6 days. The delay indication-birth (DIN) medium was of 102.9 minutes for red code, 99.7 minutes for orange code and 75 minutes for green code.

Conclusions: Authors could not attain DIN of 30 minutes shape in international recommendations. Authors must improve the delay indication entered in the surgical unit by reinforcing knowledge of the agents of support on the management of emergency obstetrical. The possibility of leading to a very quick birth is an indisputable progress in obstetrics but she should not make forget risks inherent in such procedure.

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Published

2019-05-28

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Original Research Articles