The first caesarean section in the low-and middle-income setting: indications, decision making, techniques and complications

Abstract

Caesarean sections (CS) rates are on the increase globally. There is an increase in lower middle income countries (LMICs) as well. Associated with this increase is complications of CS which are disproportionately commoner in LMICs. This book presents evidence-based research in Accra, Ghana, as an example of LMICs. It focuses on the indications for CS, the decision making process for CS, the detailed technique for CS as well short-term maternal complications of the procedure. The findings will serve as a platform to improve upon the decision making process and technique for CS and ultimately reduce maternal and perinatal morbidity and mortality associated with CS in LMICs. Recommendations have been made to serve as action points to enable pregnant mothers have a safer CS and also to make them have a more positive pregnancy experience.