[Cesarean deliveries in the maternity of military hospital of Tunis. Indication and prognosis: about 5008 cases].

BACKGROUND

The rates of cesareans increased in many countries, these last years.

AIM: we propose to evaluate the indications, and the maternal and foetal prognosis.

METHODS

it's a retrospective study of 5008 cesareans during 10 years period, collected in the maternity of the military hospital of Tunis.

RESULTS

Cesarean section rate is 21.59%. The cicatricial uterus constitutes the dominant indication (34%). In the event of noncicatricial uterus, the fetal suffering (24.7%), the failure of the trial of labour (14.2%), and the breech presentation (12.7%) are the principal indications. The hemorrhage constitutes the major complication into peroperational (2%). The post-operative complications are noted in 15.5%. Maternal mortality is 0.13%; perinatal mortality is 1.06%; perinatal morbidity is 9.68%.

CONCLUSION

The increase of cesarean rate improves fetal and neonatal prognosis however it was associated to an increase of maternal.