par Mongbo, Virginie ;Godin, Isabelle ;Mahieu, Céline ;Ouendo, Edgard Marius;Ouedrago, Laurent
Référence Santé publique, 28, 3, page (339-407)
Publication Publié, 2016
Article révisé par les pairs
Résumé : Introduction: Since 2009, caesarean section is free in Benin in order to improve affordability. This study was designed to describe cesarean section in this context of free policy in Benin in 2013 Methods: A descriptive cross-sectional study consisting of semistructured questionnaires with women and medical record analysis. The study was performed on women who had undergone cesarean section between 18 December 2013 and 8 February 2014 in a randomly selected hospital in each of the 12 departments of Benin. Quantitative data were analysed by Epi Info 3.5.1 software with Pearson X2 test at the 5% level. Qualitative data were coded thematically. Results: Among 579 women aged 26.5 ± 6.3 years, 49.9% had no schooling and 50.1% presented an absolute maternal indication Maternal and perinatal mortality were 0.17% and 7.43%, respectively. Complications and perinatal mortality were higher among women referred from a peripheral structure. Quality of care was well appreciated by 93.9% of patients, principally because it improved health status. Expenditures ranged from 0 to 200,000 FCFA with a median of 30,000 FCFA The cost of cesarean section was affordable for 58.9% but 16.6% said that the cost was higher due to additional prescriptions and parallel spending. Regarding the obstetric future after cesarean section, 45.9% of beneficiaries were confident and reassured about the next delivery, regardless of the mode of delivery, 347% feared another caesarean section and 19.4% had decided to avoid further pregnancies. Conclusion: Caesarean section was well appreciated by most beneficiaries. However, an audit of caesarean sections would ensure compliance with the principles of free care and better management of women at all levels of the health system.

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