Determinants of Maternal Morbidity and Mortality Related to Anesthesia in Course of Cesarean Section in a Low-Income Country: Experience from the Centre Hospitalier Mère-Enfant Monkole

Objective: The role of anesthesia in maternal mortality is unknown the Democratic Republic Congo (DRC). This study was conducted with objective analyzing determinants morbidity and linked to course cesarean section. Methods: a prospective, analytical mono-centric carried out on women who underwent section at Centre Hospitalier Mère-Enfant Monkole from January 1st, 2011 December 31st, 2018. variables analyzed were socio-demographic, clinical, biological anesthetic as well issues. Data analysis performed SPSS 21.0 software. sought by logistic regression p Results: During this period, 1954 sections performed. mean age 31 years (range 14 47), 1549 (79.3%) had completed prenatal consultation 405 (20.7%) elsewhere. emergency extreme 192 cases (9.82%), absolute 445 (22.77%) relative 1317 (67.4%). Locoregional (LRA) 1811 (92.68%). main complications marked arterial hypotension (22.9%) due spinal anesthesia, 0.56%. In multivariate analysis, only (aOR 7.62 95% CI: 2.80 - 71.23 = 0.007), coma admission 10.44 1.81 60.13 0.009), general 15.41 2.11 40.21 0.007) intraoperative transfusion anemia/hemorrhage 8.63 1.07 69.55 0.043) persisted death. Conclusion: Maternal (0.56%) series relatively low for low-income country no death directly related anesthesia. General urgency, anemia/bleeding, major mortality.