Impact of Medical Doctors Global Health and Tropical Medicine on decision-making in caesarean section: a pre- and post-implementation study in a rural hospital in Malawi

Table 3 Indications for caesarean section as described in case file

Indication	N	%
Cephalopelvic disproportion	150	23.3
Foetal distress	82	12.7
Prolonged first stage of labour	79	12.2
Two or more previous CS	57	8.8
Foetal malpresentation	53	8.2
Prolonged second stage of labour	30	4.7
Failed VBAC	20	3.1
Obstructed labour	16	2.5
Eclampsia	14	2.2
APH	12	1.9
Pre-eclampsia	10	1.6
Cervical dystocia	10	1.6
Cord prolapse	9	1.4
Abruptio placentae	7	1.1
Other	42	7.0
Missing	54	8.4
Total	645	100.0

Other indications were as follows: Retained second twin, premature rupture of membranes in HIV, extensive vulvovaginal warts, bad obstetric history, intra-uterine growth restriction, twin gestation in primigravida, placenta praevia, fresh caesarean scar, oligohydramnios, failed induction of labour, big fundus, previous myomectomy, active herpes infection, anhydramnios, chorioamnionitis, postdate pregnancy, epileptic convulsions, intra-uterine death with bilateral tubal ligation, stillbirth in twin gestation, cervical oedema
CS caesarean section

ISSN: 1478-4491