Emergency caesarean section at Libreville's teaching hospital: indications and time limit according to Lucas ' classification

Abstract

Objectives: To analyse the factors that lengthen the deadline for the completion of emergency Caesarean sections at Libreville's Teaching Hospital(CHUL).

Patients and methods: This is a prospective and analytical study carried out at the University Hospital Centre in Libreville, during for 5 months. We included all the parturients who had to benefit from an emergency caesarean section. The indications of the emergency Caesarean sections were divided according to Lucas ' classification and the analysis was done on the basis of factors that could influence the decision-incision delay. The data collection and analysis were carried out using the Sphinx software. The significance tests were made by the Pearson Khi2 test. The threshold of significance retained was 0.05.

Results: The emergency caesarean section rate was 43.97%. The average age of the patients was 26.22 years ± 6.01.they were Primiparous (32.44%), female (40%), living in concubinage (47.11%), and high school education (66.22%). According to Lucas ' classification, 32% Caesarean sections were of the code Rouge, 50.64% of the code Orange and 17.33%. of the Green code. The average decision-incision time of the code Rouge was 71.47 MN. Only the anesthesia technique helped to lengthen this period. 28 neonatal deaths were recorded, of which 75% belonged to Caesarean sections of the Red code, and we lamented 2 maternal deaths.

Conclusion: Lucas ' classification improves decision-incision time. The promotion of epidural anesthesia is to be encouraged to shorten this period.