Evolution of the Cesarian Trend in a Context of Free in the Health District of Fana, Mali

Abstract

Caesarean section is a procedure allowing the extraction of the fetus and its appendages after surgical opening of the uterus by transabdominal rarely vaginally. Objective: To study the practice of caesarean section in a context of free education in the Fana health district. Methodology: This is a cross-sectional retro-prospective study on the evolution of the caesarean section trend in a context of free in the health district of fana from 01 January 2020 to 31 December 2022. Results: We recorded: 1303 caesarean sections distributed as suites: 363 in 2020 (2.26%); 481 in 2021 (2.93%) and 459 in 2022 (2.72%). 10,686 assisted deliveries in 2020 or 73.35%; 12,779 assisted deliveries in 2021 or 80.47% against 11,348 assisted deliveries in 2022 or 79.13%. The 20-2-9 age group was the most represented, i.e. 4-2.90% with extremesof 14 a n s and 45 a ns. 81.43% of patient nosinthe fana health district. The majority of our patients are married women, i.e. 93.48%. 85.42% of caesarized women are housewives. Caesarean section completion rates evolved as follows from 2020 to 2022: 2.26%; 2.93% and 2.72%. At the same time the Koulikoro region obtained rates of 2.25%; 2.33% and 2.46% against 3.06%; 3.48% and 3.29% as national rates respectively in 2020; 2021 and 2022. Conclusion: Free caesarean section has led to anupward trend in the number of caesarean sections even if the objective national is not reached.