Caesarean section in Benin and Mali: increased recourse to technology due to suffering and under-resourced facilities

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AuteurSCHANTZ, CLEMENCE
AuteurABOUBAKAR, MOUFALILOU
AuteurTRAORE, ABOU BAKARY
AuteurRAVIT, MARION
AuteurDE LOENZIEN, MYRIAM
AuteurDUMONT, ALEXANDRE
Date d'ajout2026-06-02T16:06:57Z
Date de disponibilite2026-06-02T16:06:57Z
Date de publication2020
Resumen line with policies to combat maternal mortality, the medicalization of childbirth is increasing in low-income countries, while access to healthcare services remains difficult for many women. High caesarean section rates have been documented recently in hospitals in Mali and Benin, illustrating an a-priori paradoxical situation, compared with low caesarean section rates in the population. Through a qualitative approach, this article aims to describe the practice of caesarean section in maternity wards in Bamako and Cotonou. Workshops with obstetricians and midwives; participant observation inside labour rooms; and in-depth interviews with caregivers, patients and policy makers have indicated increased recourse to caesarean section due to women’s and caregivers’ suffering and under-resourced facilities. Within these procedures, two types of caesarean section were documented: ‘maternal distress caesarean section’ and ‘preventive caesarean section’. The main reasons for these caesarean sections are maternal fear and pain, and a lack of resources. Inadequately resourced facilities lead to staff suffering and ethical breakdowns, and encourage the inappropriate use of technology. The policy of access to free caesarean section procedures exacerbates the issue of non-medically-justified caesarean sections in these countries. The overuse of caesarean section is particularly alarming in countries with high fertility as it constitutes a danger to both mothers and babies in the short and long term. Currently, conditions are in place in Benin and Mali for an increase in non-medically-justified caesarean sections. In the short term, such an increase could constitute a new burden for these two sub-Saharan countries, where maternal mortality is high.
DOI10.1016/j.rbms.2019.12.001
Autre identifiantBECDB-7974
URIhttps://dspace.uac.bj/handle/123456789/7165
Languefr
Fait partie deReproductive BioMedicine and Society Online
SujetCaesarean Section
Sujetbiomedical technology
Sujetmaternal health
SujetBénin
SujetMali
TitreCaesarean section in Benin and Mali: increased recourse to technology due to suffering and under-resourced facilities
TypeArticle

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