Check Up on Anaesthesia for Caesarean Section in a Medical Center with Surgical Antenna in Bobo-Dioulasso, Burkina Faso

Barro S. D.; Somé D.; Traoré I. A.; Guibla I.; Meda Z. C.; Ouattara S.; Dao B.; Bayala B.

doi:doi:10.11648/j.jdmp.20160201.11

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Check Up on Anaesthesia for Caesarean Section in a Medical Center with Surgical Antenna in Bobo-Dioulasso, Burkina Faso

Barro S. D., Somé D., Traoré I. A., Guibla I., Meda Z. C., Ouattara S., Dao B., Bayala B.

Published in Journal of Diseases and Medicinal Plants (Volume 2, Issue 1)

Received: 25 December 2015 Accepted: 9 January 2016 Published: 23 January 2016

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Abstract

Objective: To make an inventory of anesthesia used during caesarean section in an urban medical center with surgical antenna in Bobo-Dioulasso. Patients and methods: This was a descriptive and retrospective study covering the year 2013. It concerned all women who delivered by caesarean section at Dafra, an urban district hospital. The caesarean indications were classified into extreme emergency, real/absolute emergency, delayed emergency and scheduled caesarean section. We reviewed medical records to extract data. Then analysis was performed with Excel 2000 Software. Results: A total of 291 operated women were collected, which represented 50% of the surgical activity of this hospital; 97.6% were performed in emergency. Half were extreme emergencies (50.2%) followed by real emergencies (34.7%) and delayed emergencies (12.7%), scheduled caesareans sections representing 2.4%. General anesthesia (69%) and spinal anesthesia (31%) were the two techniques practiced during cesareans sections in this center. According to nurses specialized in anesthesia, spinal anesthesia was less common because of the following reasons: surgeons put pressure on them, fear of hypotension during spinal anesthesia, absence of a physician anesthetist in the team, lack of training on spinal anesthesia. Conclusion: The regional anesthesia is the choice technique during all caesarean sections. It is advantageous for the mother and fetus and should be practiced even in district hospitals.

Published in	Journal of Diseases and Medicinal Plants (Volume 2, Issue 1)
DOI	10.11648/j.jdmp.20160201.11
Page(s)	1-4
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Caesarean Section, Anesthesia, Regional Anaesthesia

References

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[3]	CC Arvieux, B Rossignol, G Gueret, M Havaux. Anesthesia for emergency caesarean section. In: Sfar, ed. Conferences discount. National congress of anesthesia and resuscitation. Paris: Elsevier; 2001; p. 9-25.
[4]	DN Lucas, SM Yentis, SM Kinsella, A Holdcroft, AE May, M Wee, et al. Urgency of caesarean section: a new classification. JR Soc Med. 2000; 93: 346-50.
[5]	O Dupuis, I Sayegh, E Decullier, C Dupont, HJ Clément, M Berland, RC Rudigoz. Red, orange and green caesarean sections: A new communication tool for on-call obstetricians. Eur J Obstet Gynecol Reprod Biol. 2008; 140: 206-11.
[6]	N TheNoz, S Soler, E Boselli, D Chassard. Anesthesia for caesarean section Eds Elsevier. 2005; p. 323-33.
[7]	J Villar, E Valladares, D Wojdyla, N Zavaleta, G Carroli, A Velazco, A Shah, Caesarean delivery rates and pregnancy outcomes: The 2005 WHO global survey is maternal and perinatal health in Latin America Lancet. 2006; 367: 1819-29.
[8]	NICE Clinical Guidelines. Caesarean Section. November 2011. Published by the Royal College of Obstetricians and Gynaecologists, 27 Sussex Place, Regent's. Park, London NW1 4RG. Website: www.rcog.org.uk.
[9]	RV Johns, GR Lyons, RC Wilson, AP Robinson. Training in obstetric general anesthesia: a vanishing art? Anaesthesia. 2000; 55: 179-83.
[10]	C Deneux-Tharaux, E Carmona, MH Bouvier-Colle. Postpartum maternal mortality and caesarean delivery. Obstet Gynecol. 2006; 108: 541-48.
[11]	JL1 Hawkins, J Chang, SK Palmer, CP Gibbs, WM Callaghan. Anesthesia-related maternal mortality in the United States: 1979-2002. Obstet Gynecol. 2011; 117: 69-74.
[12]	AGM Aya, N Vialles, J Ripart. Anesthesia and eclampsia Ann Fr Anesth Reanim 2010; 29: 141-47.
[13]	P Popham, A Buettner, M Mendola. Anaesthesia for emergency caesarean section 2000-2004, at the Royal Women's Hospital, Melbourne Anaesth Intensive Care. 2007; 35: 74-79.
[14]	KJ Regan, G O'Sullivan. The extension of epidural blockade for emergency caesarean section: a survey of current UK practice. Anaesthesia. 2008; 63: 136-142.
[15]	W Krisanaprakornkit, Anesthesia spinal or epidural in case of caesarean section: BSG commentary (last revision 15 December 2006). Library that of WHO reproductive health; Genève: World Health Organization.
[16]	ME Bauer, JA Kountanis, LC Tsen, ML Greenfield, JM Mhyre. Risk factoring for failed labor epidural analgesia conversion of cesarean delivery to anesthesia: a systematic review and meta- analysis of observational trials. Int J Obstet Anesth. 2012; 21: 294-309.
[17]	E Depuydt M Van De Velde. Unplanned cesarean section in parturients with an epidural catheter in-situ: how to obtain surgical anesthesia. Acta Anaesth Belg. 2013; 64: 61-74.
[18]	SH Halpern, A Soliman, J Yee, P Angle, A Ioscovich. Conversion of epidural anesthesia for labor analgesia to Caesarean section: a prospective study of the incidence and determinants of failure. Br J Anaesth. 2009; 102: 240-3.
[19]	B Carvalho, FJ Mercier, ET Riley, C Brummel, SE Cohen. Hetastarch co-loading is as effective as pre-loading for the prevention of spinal anesthesia for hypotension following cesarean delivery. Intern J Obstet Anesth. 2009; 18: 150–5.
[20]	A George. A response to Whose distress is it anyway? Fetal distress and the 30-min rule. Anaesthesia. 2004; 59 202.

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Barro S. D., Somé D., Traoré I. A., Guibla I., Meda Z. C., et al. (2016). Check Up on Anaesthesia for Caesarean Section in a Medical Center with Surgical Antenna in Bobo-Dioulasso, Burkina Faso. Journal of Diseases and Medicinal Plants, 2(1), 1-4. https://doi.org/10.11648/j.jdmp.20160201.11

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ACS Style

Barro S. D.; Somé D.; Traoré I. A.; Guibla I.; Meda Z. C., et al. Check Up on Anaesthesia for Caesarean Section in a Medical Center with Surgical Antenna in Bobo-Dioulasso, Burkina Faso. J. Dis. Med. Plants 2016, 2(1), 1-4. doi: 10.11648/j.jdmp.20160201.11

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AMA Style

Barro S. D., Somé D., Traoré I. A., Guibla I., Meda Z. C., et al. Check Up on Anaesthesia for Caesarean Section in a Medical Center with Surgical Antenna in Bobo-Dioulasso, Burkina Faso. J Dis Med Plants. 2016;2(1):1-4. doi: 10.11648/j.jdmp.20160201.11

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@article{10.11648/j.jdmp.20160201.11,
  author = {Barro S. D. and Somé D. and Traoré I. A. and Guibla I. and Meda Z. C. and Ouattara S. and Dao B. and Bayala B.},
  title = {Check Up on Anaesthesia for Caesarean Section in a Medical Center with Surgical Antenna in Bobo-Dioulasso, Burkina Faso},
  journal = {Journal of Diseases and Medicinal Plants},
  volume = {2},
  number = {1},
  pages = {1-4},
  doi = {10.11648/j.jdmp.20160201.11},
  url = {https://doi.org/10.11648/j.jdmp.20160201.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jdmp.20160201.11},
  abstract = {Objective: To make an inventory of anesthesia used during caesarean section in an urban medical center with surgical antenna in Bobo-Dioulasso. Patients and methods: This was a descriptive and retrospective study covering the year 2013. It concerned all women who delivered by caesarean section at Dafra, an urban district hospital. The caesarean indications were classified into extreme emergency, real/absolute emergency, delayed emergency and scheduled caesarean section. We reviewed medical records to extract data. Then analysis was performed with Excel 2000 Software. Results: A total of 291 operated women were collected, which represented 50% of the surgical activity of this hospital; 97.6% were performed in emergency. Half were extreme emergencies (50.2%) followed by real emergencies (34.7%) and delayed emergencies (12.7%), scheduled caesareans sections representing 2.4%. General anesthesia (69%) and spinal anesthesia (31%) were the two techniques practiced during cesareans sections in this center. According to nurses specialized in anesthesia, spinal anesthesia was less common because of the following reasons: surgeons put pressure on them, fear of hypotension during spinal anesthesia, absence of a physician anesthetist in the team, lack of training on spinal anesthesia. Conclusion: The regional anesthesia is the choice technique during all caesarean sections. It is advantageous for the mother and fetus and should be practiced even in district hospitals.},
 year = {2016}
}

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TY - JOUR
T1 - Check Up on Anaesthesia for Caesarean Section in a Medical Center with Surgical Antenna in Bobo-Dioulasso, Burkina Faso
AU - Barro S. D.
AU - Somé D.
AU - Traoré I. A.
AU - Guibla I.
AU - Meda Z. C.
AU - Ouattara S.
AU - Dao B.
AU - Bayala B.
Y1 - 2016/01/23
PY - 2016
N1 - https://doi.org/10.11648/j.jdmp.20160201.11
DO - 10.11648/j.jdmp.20160201.11
T2 - Journal of Diseases and Medicinal Plants
JF - Journal of Diseases and Medicinal Plants
JO - Journal of Diseases and Medicinal Plants
SP - 1
EP - 4
PB - Science Publishing Group
SN - 2469-8210
UR - https://doi.org/10.11648/j.jdmp.20160201.11
AB - Objective: To make an inventory of anesthesia used during caesarean section in an urban medical center with surgical antenna in Bobo-Dioulasso. Patients and methods: This was a descriptive and retrospective study covering the year 2013. It concerned all women who delivered by caesarean section at Dafra, an urban district hospital. The caesarean indications were classified into extreme emergency, real/absolute emergency, delayed emergency and scheduled caesarean section. We reviewed medical records to extract data. Then analysis was performed with Excel 2000 Software. Results: A total of 291 operated women were collected, which represented 50% of the surgical activity of this hospital; 97.6% were performed in emergency. Half were extreme emergencies (50.2%) followed by real emergencies (34.7%) and delayed emergencies (12.7%), scheduled caesareans sections representing 2.4%. General anesthesia (69%) and spinal anesthesia (31%) were the two techniques practiced during cesareans sections in this center. According to nurses specialized in anesthesia, spinal anesthesia was less common because of the following reasons: surgeons put pressure on them, fear of hypotension during spinal anesthesia, absence of a physician anesthetist in the team, lack of training on spinal anesthesia. Conclusion: The regional anesthesia is the choice technique during all caesarean sections. It is advantageous for the mother and fetus and should be practiced even in district hospitals.
VL - 2
IS - 1
ER -

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Author Information

Barro S. D.

Service of Anesthesia and Resuscitation, Department of Surgery, Souro-Sanou University Hospital of Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso
Somé D.

Department of Obstetric Genecology and Reproductive Medicine, Souro-Sanou University Hospital of Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso
Traoré I. A.

Service of Anesthesia and Resuscitation, Department of Surgery, Souro-Sanou University Hospital of Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso
Guibla I.

Service of Anesthesia and Resuscitation, Department of Surgery, Souro-Sanou University Hospital of Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso
Meda Z. C.

Higher Institute of Health Sciences of Bobo-Dioulasso, Polytechnic University of Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso
Ouattara S.

Department of Obstetric Genecology and Reproductive Medicine, Souro-Sanou University Hospital of Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso
Dao B.

Higher Institute of Health Sciences of Bobo-Dioulasso, Polytechnic University of Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso
Bayala B.

Laboratory of Animal Physiology, Training and Research Unit in Life and Earth Sciences, University of Ouagadougou, Ouagadougou, Burkina Faso

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APA Style

Barro S. D., Somé D., Traoré I. A., Guibla I., Meda Z. C., et al. (2016). Check Up on Anaesthesia for Caesarean Section in a Medical Center with Surgical Antenna in Bobo-Dioulasso, Burkina Faso. Journal of Diseases and Medicinal Plants, 2(1), 1-4. https://doi.org/10.11648/j.jdmp.20160201.11

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ACS Style

Barro S. D.; Somé D.; Traoré I. A.; Guibla I.; Meda Z. C., et al. Check Up on Anaesthesia for Caesarean Section in a Medical Center with Surgical Antenna in Bobo-Dioulasso, Burkina Faso. J. Dis. Med. Plants 2016, 2(1), 1-4. doi: 10.11648/j.jdmp.20160201.11

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AMA Style

Barro S. D., Somé D., Traoré I. A., Guibla I., Meda Z. C., et al. Check Up on Anaesthesia for Caesarean Section in a Medical Center with Surgical Antenna in Bobo-Dioulasso, Burkina Faso. J Dis Med Plants. 2016;2(1):1-4. doi: 10.11648/j.jdmp.20160201.11

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@article{10.11648/j.jdmp.20160201.11,
  author = {Barro S. D. and Somé D. and Traoré I. A. and Guibla I. and Meda Z. C. and Ouattara S. and Dao B. and Bayala B.},
  title = {Check Up on Anaesthesia for Caesarean Section in a Medical Center with Surgical Antenna in Bobo-Dioulasso, Burkina Faso},
  journal = {Journal of Diseases and Medicinal Plants},
  volume = {2},
  number = {1},
  pages = {1-4},
  doi = {10.11648/j.jdmp.20160201.11},
  url = {https://doi.org/10.11648/j.jdmp.20160201.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jdmp.20160201.11},
  abstract = {Objective: To make an inventory of anesthesia used during caesarean section in an urban medical center with surgical antenna in Bobo-Dioulasso. Patients and methods: This was a descriptive and retrospective study covering the year 2013. It concerned all women who delivered by caesarean section at Dafra, an urban district hospital. The caesarean indications were classified into extreme emergency, real/absolute emergency, delayed emergency and scheduled caesarean section. We reviewed medical records to extract data. Then analysis was performed with Excel 2000 Software. Results: A total of 291 operated women were collected, which represented 50% of the surgical activity of this hospital; 97.6% were performed in emergency. Half were extreme emergencies (50.2%) followed by real emergencies (34.7%) and delayed emergencies (12.7%), scheduled caesareans sections representing 2.4%. General anesthesia (69%) and spinal anesthesia (31%) were the two techniques practiced during cesareans sections in this center. According to nurses specialized in anesthesia, spinal anesthesia was less common because of the following reasons: surgeons put pressure on them, fear of hypotension during spinal anesthesia, absence of a physician anesthetist in the team, lack of training on spinal anesthesia. Conclusion: The regional anesthesia is the choice technique during all caesarean sections. It is advantageous for the mother and fetus and should be practiced even in district hospitals.},
 year = {2016}
}

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