PREVALENCE AND FACTORS ASSOCIATED WITH MATERNAL AND FETAL OUTCOMES IN WOMEN UNDERGOING CESAREAN SECTION AT THE MONO-COUFFO REGIONAL HOSPITAL CENTER BETWEEN 2020 AND 2021

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ABSTRACT Introduction This study evaluates the maternal and fetal outcomes of cesarean sections and identifies the associated factors in a reference hospital center in Benin. Study Method This is a retrospective analytical study conducted on the medical records of women who underwent cesarean delivery at the Mono-Couffo Regional Hospital Center between 2020 and 2021. Maternal and fetal outcomes were categorized as favorable or unfavorable based on standardized criteria. Sociodemographic, obstetric, and medical data of the patients were statistically analyzed, with a significance threshold set at p < 0.05. Results The average age was 27.04 years, and 78.33% resided in rural areas. The overall cesarean section prevalence was 46.26%, with 76.78% being emergency cesareans and 23.22% scheduled. Unfavorable outcomes affected 10.84% of mothers and 17.96% of fetuses. Multiple pregnancies, urinary tract infections, a history of spontaneous abortion, and prenatal care were significantly associated with unfavorable maternal outcomes, while primiparity and nulliparity increased the risk of unfavorable fetal outcomes. These results highlight the importance of prenatal care. Conclusion Strengthening prenatal care and targeting at-risk patients would improve maternal and fetal prognoses following cesarean section.

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