Table 2

Patient characteristics and clinical management of women who died during or after caesarean section in Sierra Leone in 2016

Age
Median (IQR), n=9927 (20–32)
 15–1914 (14%)
 20–2424 (24%)
 25–3444 (44%)
 ≥3517 (17%)
Gravidity
Median (IQR), n=973 (1–5)
 125 (26%)
 2–556 (58%)
 ≥616 (16%)
Parity
Median (IQR), n=962 (0–4)
 025 (26%)
 1–456 (58%)
 ≥515 (16%)
Number of antenatal care visits
Median (IQR), n=563 (2–3)
 06 (11%)
 14 (7%)
 2–336 (64%)
 ≥410 (18%)
Referred from
Home39 (43%)
Peripheral health unit51 (56%)
Other hospital2 (2%)
Unknown7 (7%)
Preoperative haemoglobin level
Median (IQR), g/L, n=4990 (74–105)
Indication for caesarean section*
Obstructed labour42 (42%)
Pre-eclampsia/eclampsia25 (25%)
Haemorrhage22 (22%)
Placental abruption10 (10%)
Malpresentation9 (9%)
Twins/triplets7 (7%)
Uterine rupture7 (7%)
Previous CS6 (6%)
Type of surgical provider
Medical officer53 (55%)
Surgical training programme student13 (13%)
Surgical assistant community health officer11 (11%)
Specialist obstetrician8 (8%)
House officer7 (7%)
Other associate clinician5 (5%)
Unknown2 (2%)
Time from admission to start of operation
Median (IQR), hours, n=845.8 (2.0–21.3)
Operation length
Median (IQR), min, n=6749 (33 – 69)
Additional procedures registered
Hysterectomy14 (14%)
B-Lynch procedure3 (3%)
Blood transfusion
Patients transfused (proportion), n=9974 (75%)
Number of units transfused
Median (IQR), n=931 (1–2)
Type of anaesthesia
General72 (75%)
Spinal19 (20%)
Spinal and general5 (5%)
Unknown3 (3%)
  • *Multiple indications given for some patients; indications with ≤5 occurrences excluded; percentages may add up to above 100% due to rounding or patients appearing in multiple categories.

  • CS, caesarean section.