Table of Contents
ISRN Obstetrics and Gynecology
Volume 2011, Article ID 791319, 5 pages
http://dx.doi.org/10.5402/2011/791319
Research Article

Risk Factors of Delivery by Caesarean Section in Cameroon (2003-2004): A Regional Hospital Report

1Ligue d’Initiative et de Recherche Active pour la Santé et l’Education de la Femme (LIRASEF), Yaoundé, Cameroon
2Department of Obstetrics and Gynecology, Maroua Regional Hospital, Maroua, Cameroon
3Department of Obstetrics and Gynecology, University Hospitals, Yaoundé, Cameroon
4Department of Obstetrics and Gynecology, University Centre Hospital, Yaoundé, Cameroon
5Reproductive Health Solutions, Salisbury, UK

Received 4 August 2011; Accepted 12 September 2011

Academic Editors: J. Olsen and C. M. Peterson

Copyright © 2011 P. M. Tebeu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We conducted this retrospective case-control study to identify possible risk factors of delivery through caesarean section in the Far North Region of Cameroon. Data was collected retrospectively from delivery room registers at the Provincial Hospital, Maroua, Cameroon from 01/01/2003 to 31/12/2004. The overall 125 eligible caesarean deliveries were compared with 244 women who delivered vaginally during the study period. The odds ratio as well as the 95% confidence interval was used to measure the relationship between maternal characteristic and risk of delivery by caesarean section. We found that the marital status is similar in the two study populations. Risk factors associated with cesarean section were: maternal age less than 17 years (OR 3.55, 95%CI: 1.46–8.64), maternal age over 39 years (OR 3.55, 95% CI: 1.17–10.75), nulliparity (OR 2.72, 95% CI: 1.59–4.66), grand multiparty (OR 3.43, 95% CI: 1.79–6.57), and macrosomia (OR 4.82, 95% CI: 1.49–16.44). There was a weak association with absent or poor. Caesarean delivery is associated with extreme ages of reproductive life, macrosomia, nulliparous and grand multiparous status. We strongly recommend that these factors be taken into consideration to strengthen the mother and child health programs in Cameroon and countries with similar socioeconomic profiles.