Our Summary

This research was conducted in the gynecology-obstetrics department of the General Hospital of Bonzola in Mbujimayi from May 2020 to April 2021. The study focused on identifying factors linked to the decision to perform a C-section during labor in low-risk mothers-to-be.

The study found that the main reasons for choosing a C-section were a lack of progress in dilatation (56.2% of cases) and abnormal fetal heart rate (16.7% of cases). Other factors that increased the likelihood of a C-section included a low Apgar score (a quick test performed on a baby at 1 and 5 minutes after birth to determine how well the baby tolerated the birthing process), a baby weight above 4000g, a Bishop score below 6 (a score system to predict whether induction of labor will be required), dilatation less than 3 cm on admission, and certain treatments such as oxytocin, artificial rupture of membranes, and using G10% (a kind of glucose solution) during labor.

Understanding these factors can help medical practitioners either prevent the need for a C-section or better prepare their patients for the procedure.

FAQs

  1. What were the main reasons for deciding to perform a C-section in the study conducted at the General Hospital of Bonzola in Mbujimayi?
  2. What factors were found to increase the likelihood of a cesarean section during labor in low-risk mothers-to-be?
  3. How can understanding these factors related to C-sections help medical practitioners?

Doctor’s Tip

One helpful tip a doctor might tell a patient about cesarean section is to stay informed and be prepared for the possibility of needing a C-section during labor. It is important to discuss the potential reasons for a C-section with your healthcare provider and understand the factors that may increase the likelihood of this procedure. By being aware of these factors, you can be better equipped to make informed decisions and advocate for your own health and the health of your baby.

Suitable For

Overall, patients who are typically recommended for a cesarean section include those who are experiencing a lack of progress in labor, abnormal fetal heart rate, low Apgar score, high baby weight, low Bishop score, insufficient dilatation, and certain medical treatments during labor. These factors can increase the likelihood of complications during natural childbirth, making a cesarean section the safer option for both the mother and the baby.

Timeline

Before a cesarean section, a pregnant patient may experience prolonged labor, abnormal fetal heart rate, a lack of progress in dilatation, or other factors that indicate the need for a C-section. The decision to perform a C-section is typically made based on these factors and the overall health and well-being of both the mother and baby.

After a cesarean section, the patient will likely experience some pain and discomfort as they recover from the surgery. They will need to follow their healthcare provider’s instructions for wound care, pain management, and post-operative care. The patient may also experience emotional and psychological effects related to the surgical birth experience.

It is important for patients to have a clear understanding of the reasons for and potential risks and benefits of a cesarean section, as well as being prepared for the recovery process following the procedure. Working closely with their healthcare provider and having a support system in place can help patients navigate the experience of a cesarean section and optimize their recovery and well-being.

What to Ask Your Doctor

  1. What are the potential risks and benefits of a cesarean section for me and my baby?
  2. What are the reasons why a C-section may be necessary during my labor?
  3. How will the decision to perform a C-section be made during my labor?
  4. What are the alternative options to a C-section and their associated risks and benefits?
  5. What is the recovery process like after a C-section and how long will it take for me to fully recover?
  6. Will I be able to have skin-to-skin contact with my baby immediately after the C-section?
  7. How will a C-section impact my future pregnancies and deliveries?
  8. Are there any specific factors in my medical history that may increase the likelihood of needing a C-section?
  9. How can I help reduce my risk of needing a C-section during labor?
  10. What is the hospital’s C-section rate and success rate, and how does it compare to national averages?

Reference

Authors: Cibangu Kashala J, Badianyama Tshilumba J, Tshodi Bulanda A, Cimuanga Mukanya A, Mbuyamba Ntobo L. Journal: Mali Med. 2023;38(3):33-40. PMID: 38514947