ABSTRACT
The rate of caesarean deliveries has increased in recent years. Among the major problems of the practitioners in this regard we find the choice of indications. The overall objective of this study is to profile information and compare with the practices of some teams described in the literature, while assessing the value of the programming of these cesarean vis- a- vis the maternal and fetal prognosis. This study aims to profile the indications of prophylactic caesarean deliveries and to assess the value of their programming in terms of maternal-foetal morbidity. 290 prophylactic cesareans were performed at the teaching maternity between January, 1[st] and December 31[st] 2007, divided into programmed prophylactic caesarean and prophylactic caesareans carried out urgently. The rate of caesarean sections was 17%. 26% of these caesarean sections were prophylactic, and were spread in 55% of programmed ones and 45% of urgent ones. The scarreduterus and the foetal-pelvic disproportion were two thirds of the indications in our series. The average gestational age of achievement of the prophylactic caesareans was 39 weeks. When the type of anaesthesia used, 2/3 o the programmed ones were done under spinal anaesthesia, while 86% of the urgent ones were under general anaesthesia. Wound infection was the prophylactic caesareans in two thirds of cases. The best conditions for programmed prophylactic caesareans compared to the prophylactic caesareans carried out urgently show the interest of programming, and justify the need for proper monitoring of all pregnanciesintensive care unit