{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:21:14Z","timestamp":1765887674333,"version":"3.37.3"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,2,28]],"date-time":"2015-02-28T00:00:00Z","timestamp":1425081600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,2,28]],"date-time":"2015-02-28T00:00:00Z","timestamp":1425081600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":185,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["ijgo.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To review the major indications for cesareans performed by M\u00e9decins Sans Fronti\u00e8res (MSF) personnel from the Operational Center Brussels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was undertaken of all singleton cesarean deliveries from 2008\u20132012 for which indications were recorded. Location of project, age of patient, type of anesthesia, and duration of operation were also recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 14 151 singleton cesarean deliveries were identified from 17 countries. Among the 15 905 indications recorded, the most common was failure to progress or cephalopelvic disproportion (4822 [30.3%]), followed by previous uterine scar (2504 [15.7%]), non\u2010reassuring fetal status (2306 [14.5%]), and fetal malpresentation (1746 [11.0%]). Other indications were placenta or vasa previa (794 [5.0%]), uterine rupture (676 [4.3%]), hypertensive disorders (659 [4.1%]), placental abruption (520 [3.3%]), pre\u2010rupture (450 [2.8%]), and cord prolapse (365 [2.3%]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Indications for cesareans in MSF settings differ from those in higher\u2010income countries. Further investigation is needed for adequate emergency obstetric care coverage.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2014.12.008","type":"journal-article","created":{"date-parts":[[2015,2,28]],"date-time":"2015-02-28T07:24:36Z","timestamp":1425108276000},"page":"231-235","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["A cross\u2010sectional study of indications for cesarean deliveries in M\u00e9decins Sans Fronti\u00e8res facilities across 17 countries"],"prefix":"10.1002","volume":"129","author":[{"given":"Reinou S.","family":"Groen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Trelles","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Severine","family":"Caluwaerts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Papillon\u2010Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saiqa","family":"Noor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Burhani","family":"Qudsia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brigitte","family":"Ndelema","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalla M.","family":"Kondo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evan G.","family":"Wong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiten D.","family":"Patel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam L.","family":"Kushner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,2,28]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"World Health Organization United Nations Children's Fund United Nations Population Fund The World Bank Trends in Maternal Mortality: 1990 to 2010.http:\/\/whqlibdoc.who.int\/publications\/2012\/9789241503631_eng.pdf Published 2012. Accessed February 15 2015"},{"key":"e_1_2_6_3_2","unstructured":"World Health Organization United Nations Population Fund United Nations Children's Fund Averting Maternal Death and Disability Monitoring emergency obstetric care: a handbook.http:\/\/whqlibdoc.who.int\/publications\/2009\/9789241547734_eng.pdf?ua=1 Published 2009. Accessed February 15 2015"},{"key":"e_1_2_6_4_2","unstructured":"World Health Organization United Nations Children's Fund Countdown to 2015 decade report (2000\u20132010) with country profiles: taking stock of maternal newborn and child survival.http:\/\/whqlibdoc.who.int\/publications\/2010\/9789241599573_eng.pdf Published 2010. Accessed February 15 2015"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0049938"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-107"},{"issue":"1","key":"e_1_2_6_7_2","first-page":"52","article-title":"Changing trends in incidence and indications of caesarean section","volume":"23","author":"Khan A.","year":"2014","journal-title":"Mymensingh Med J"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0044484"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31829a2808"},{"issue":"2","key":"e_1_2_6_10_2","first-page":"89","article-title":"Preparing for Global Women's Health Work","volume":"6","author":"Nour N.M.","year":"2013","journal-title":"Rev Obstet Gynecol"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f680b2"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0187-z"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2014.02.002"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000017"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)06414-5"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-17"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2006.07.002"},{"issue":"8","key":"e_1_2_6_18_2","first-page":"1102","article-title":"Alarming rise of cesarean births: a single center experience","volume":"16","author":"Simsek Y.","year":"2012","journal-title":"Eur Rev Med Pharmacol Sci"},{"issue":"8","key":"e_1_2_6_19_2","doi-asserted-by":"crossref","first-page":"408","DOI":"10.47102\/annals-acadmedsg.V42N8p408","article-title":"Why we do caesars: a comparison of the trends in caesarean section delivery over a decade","volume":"42","author":"Wang C.P.","year":"2013","journal-title":"Ann Acad Med Singapore"},{"issue":"4","key":"e_1_2_6_20_2","first-page":"9","article-title":"Prevention of child marriage and teenage pregnancy in Africa: need for more research and innovation","volume":"17","author":"Okonofua F.","year":"2013","journal-title":"Afr J Reprod Health"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-012-0201-5"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-153"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-010-1820-7"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1080\/01443610902980860"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-141"},{"issue":"4","key":"e_1_2_6_26_2","first-page":"304","article-title":"Uterine rupture: trends and feto\u2010maternal outcome in a Nigerian teaching hospital","volume":"22","author":"Akaba G.O.","year":"2013","journal-title":"Niger J Med"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.08.057653"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.4103\/1119-3077.91746"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S002072921500096X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S002072921500096X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2014.12.008","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2014.12.008","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2014.12.008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T01:06:59Z","timestamp":1696381619000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2014.12.008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2,28]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["10.1016\/j.ijgo.2014.12.008"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2014.12.008","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"type":"print","value":"0020-7292"},{"type":"electronic","value":"1879-3479"}],"subject":[],"published":{"date-parts":[[2015,2,28]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A cross-sectional study of indications for cesarean deliveries in M\u00e9decins Sans Fronti\u00e8res facilities across 17 countries","name":"articletitle","label":"Article Title"},{"value":"International Journal of Gynecology & Obstetrics","name":"journaltitle","label":"Journal Title"},{"value":"http:\/\/dx.doi.org\/10.1016\/j.ijgo.2014.12.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}