Decreasing urgent repeat cesarean sections by offering complimentary ultrasounds and consultation in rural Burundi: The zigama mama project
ObjectiveRepeat urgent cesarean sections (CS) carry an increased risk of severe maternal outcomes. As CS increase in sub-Saharan Africa, creative strategies are necessary to reduce the rate of urgent repeat CS. The Zigama-Mama Project in rural Burundi uses complimentary ultrasounds to create a clini...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Global Women's Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2023.1053541/full |
| _version_ | 1797893525475426304 |
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| author | Eric McLaughlin Matthew Nagy Jean-Bosco Magorwa Gilbert Kibinakanwa Rachel McLaughlin |
| author_facet | Eric McLaughlin Matthew Nagy Jean-Bosco Magorwa Gilbert Kibinakanwa Rachel McLaughlin |
| author_sort | Eric McLaughlin |
| collection | DOAJ |
| description | ObjectiveRepeat urgent cesarean sections (CS) carry an increased risk of severe maternal outcomes. As CS increase in sub-Saharan Africa, creative strategies are necessary to reduce the rate of urgent repeat CS. The Zigama-Mama Project in rural Burundi uses complimentary ultrasounds to create a clinical touchpoint to counsel women with a prior CS for a hospital-based delivery.MethodsFrom July 2019 to June 2020, complimentary ultrasounds were offered to all antenatal patients with prior CS, along with counseling for monitored trial of labor after cesarean (TOLAC) or scheduled repeat CS. Community engagement and feedback from district health centers were evaluated.ResultsIn total, 500 women with a prior CS presented for a complimentary ultrasound. During the intervention year, a relative and absolute reduction in urgent repeat CS (baseline: n = 114 {70.8%}, intervention: n = 97{49.7%}, p < 0.001) was observed, with no significant change in maternal mortality or ruptured uteri. All health center personnel agreed the project improved their confidence in referring women with prior CS.ConclusionOffering complimentary ultrasounds as a clinical touchpoint for scheduling a monitored delivery or CS for women at high risk for delivery complication may be an affordable and creative strategy to care for women with previous CS during subsequent deliveries. |
| first_indexed | 2024-04-10T06:55:21Z |
| format | Article |
| id | doaj.art-be1eab37f7dd4f20892b56a3c91448a5 |
| institution | Directory Open Access Journal |
| issn | 2673-5059 |
| language | English |
| last_indexed | 2024-04-10T06:55:21Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Global Women's Health |
| spelling | doaj.art-be1eab37f7dd4f20892b56a3c91448a52023-02-28T07:56:29ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592023-02-01410.3389/fgwh.2023.10535411053541Decreasing urgent repeat cesarean sections by offering complimentary ultrasounds and consultation in rural Burundi: The zigama mama projectEric McLaughlin0Matthew Nagy1Jean-Bosco Magorwa2Gilbert Kibinakanwa3Rachel McLaughlin4Frank Ogden School of Medicine, Hope Africa University, Bujumbura, BurundiDepartment of Education, Kibuye Hope Hospital, Kibuye, BurundiMinistry of Public Health and Fight Against AIDS, Kibuye Health District, Kibuye, BurundiFrank Ogden School of Medicine, Hope Africa University, Bujumbura, BurundiFrank Ogden School of Medicine, Hope Africa University, Bujumbura, BurundiObjectiveRepeat urgent cesarean sections (CS) carry an increased risk of severe maternal outcomes. As CS increase in sub-Saharan Africa, creative strategies are necessary to reduce the rate of urgent repeat CS. The Zigama-Mama Project in rural Burundi uses complimentary ultrasounds to create a clinical touchpoint to counsel women with a prior CS for a hospital-based delivery.MethodsFrom July 2019 to June 2020, complimentary ultrasounds were offered to all antenatal patients with prior CS, along with counseling for monitored trial of labor after cesarean (TOLAC) or scheduled repeat CS. Community engagement and feedback from district health centers were evaluated.ResultsIn total, 500 women with a prior CS presented for a complimentary ultrasound. During the intervention year, a relative and absolute reduction in urgent repeat CS (baseline: n = 114 {70.8%}, intervention: n = 97{49.7%}, p < 0.001) was observed, with no significant change in maternal mortality or ruptured uteri. All health center personnel agreed the project improved their confidence in referring women with prior CS.ConclusionOffering complimentary ultrasounds as a clinical touchpoint for scheduling a monitored delivery or CS for women at high risk for delivery complication may be an affordable and creative strategy to care for women with previous CS during subsequent deliveries.https://www.frontiersin.org/articles/10.3389/fgwh.2023.1053541/fullcesarean sectionobstetrical ultrasoundBurundihealth care accesshealth districturgent cesarean section |
| spellingShingle | Eric McLaughlin Matthew Nagy Jean-Bosco Magorwa Gilbert Kibinakanwa Rachel McLaughlin Decreasing urgent repeat cesarean sections by offering complimentary ultrasounds and consultation in rural Burundi: The zigama mama project Frontiers in Global Women's Health cesarean section obstetrical ultrasound Burundi health care access health district urgent cesarean section |
| title | Decreasing urgent repeat cesarean sections by offering complimentary ultrasounds and consultation in rural Burundi: The zigama mama project |
| title_full | Decreasing urgent repeat cesarean sections by offering complimentary ultrasounds and consultation in rural Burundi: The zigama mama project |
| title_fullStr | Decreasing urgent repeat cesarean sections by offering complimentary ultrasounds and consultation in rural Burundi: The zigama mama project |
| title_full_unstemmed | Decreasing urgent repeat cesarean sections by offering complimentary ultrasounds and consultation in rural Burundi: The zigama mama project |
| title_short | Decreasing urgent repeat cesarean sections by offering complimentary ultrasounds and consultation in rural Burundi: The zigama mama project |
| title_sort | decreasing urgent repeat cesarean sections by offering complimentary ultrasounds and consultation in rural burundi the zigama mama project |
| topic | cesarean section obstetrical ultrasound Burundi health care access health district urgent cesarean section |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2023.1053541/full |
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