{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:19:39Z","timestamp":1747196379107,"version":"3.40.5"},"reference-count":15,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T00:00:00Z","timestamp":1696809600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objective<\/jats:title>\n<jats:p>To describe the surgical techniques of Caesarean delivery (CD) practiced by Ethiopian Obstetricians and Gynecologists.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A descriptive survey study was conducted in Ethiopia from March 1, 2021 to April 30, 2021. Members of the Ethiopian Society of Obstetrician and Gynecologists were randomly selected and their Cesarean delivery surgical techniques were explored. Data were analyzed using IBM SPSS statistics 22. Simple descriptive analysis were employed and frequencies and percentage were calculated to present the data.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>A total of 258 obstetricians and Gynecologists practicing in Ethiopia were approached with a response rate of 97.3% (251\/258). Double layer closure of uterine incision (98.4%) and subcuticular closure of skin wound (96.4%) are practiced by most of the participants. There was a large difference in practice of blunt versus sharp fascia extension (43.3 vs 55.8%), cephalo-caudad versus lateral uterine incision extension (58 vs.39%), and closure versus non-closure of pelvic and parietal peritoneum (57.4 vs 42.6, and 39.8 versus 60.2%).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Blunt and sharp fascia extension, cephalo-caudad and lateral uterine incision extension, closure and non-closure of the pelvic and parietal peritoneum are practiced by similar numbers of Ethiopian Obstetricians and Gynecologists. This demonstrates a wide variation exists in the techniques of Cesarean Delivery across Ethiopia.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0292382","type":"journal-article","created":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T17:33:46Z","timestamp":1696872826000},"page":"e0292382","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cesarean delivery surgical techniques in Africa: A survey study from Ethiopia"],"prefix":"10.1371","volume":"18","author":[{"given":"Wondimu","family":"Gudu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zekarias Taye","family":"Sisay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mekitie","family":"Wondafrash","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5812-0804","authenticated-orcid":true,"given":"Abraham Fessehaye","family":"Sium","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,10,9]]},"reference":[{"key":"pone.0292382.ref001","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/s13037-017-0131-3","article-title":"Surgical site infection and its associated factors following cesarean section: a cross sectional study from a public hospital in Ethiopia","volume":"11","author":"KA Gelaw","year":"2017","journal-title":"Patient Saf 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health survey data","volume":"18","author":"R Mezemir","year":"2023","journal-title":"Plos one"},{"issue":"1","key":"pone.0292382.ref009","doi-asserted-by":"crossref","first-page":"e0280404","DOI":"10.1371\/journal.pone.0280404","article-title":"External cephalic version success rate and associated factors: Experience from a tertiary center in Sub-Saharan Africa: A cross-sectional study","volume":"18","author":"AF Sium","year":"2023","journal-title":"PLoS One"},{"volume-title":"Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA\/Population Division","year":"2023","key":"pone.0292382.ref010"},{"issue":"9888","key":"pone.0292382.ref011","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/S0140-6736(13)60441-9","article-title":"Caesarean section surgical techniques (CORONIS): a fractional, factorial, unmasked, randomised controlled trial","volume":"382","author":"CORONIS Collaborative Group","year":"2013","journal-title":"The Lancet"},{"issue":"11","key":"pone.0292382.ref012","doi-asserted-by":"crossref","first-page":"1366","DOI":"10.1111\/j.1471-0528.2010.02686.x","article-title":"Caesarean section surgical techniques: a randomized factorial trial (CAESAR)","volume":"117","author":"CAESAR Study Collaborative Group","year":"2010","journal-title":"BJOG: An International Journal of Obstetrics & Gynecology"},{"issue":"8","key":"pone.0292382.ref013","first-page":"CD000163","article-title":"Closure versus non-closure of the peritoneum at caesarean section: short- and long-term outcomes","author":"AA Bamigboye","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"issue":"7","key":"pone.0292382.ref014","first-page":"CD004732","article-title":"Surgical techniques for uterine incision and uterine closure at the time of caesarean section","author":"JM Dodd","year":"2014","journal-title":"Cochrane Database Syst 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