OBJECTIVES: In a rural district hospital in Burundi offering Emergency Obstetric care-(EmOC), we assessed the a) characteristics of @entity1 at risk of, or with an @entity2143 complication and their types b) the number and type of @entity2143 surgical procedures and anaesthesia performed c) @entity1 resource cadres who performed surgery and anaesthesia and d) hospital exit outcomes. METHODS: A retrospective analysis of EmOC data (2011 and 2012). RESULTS: A total of 6084 @entity1 were referred for EmOC of whom 2534(42%) underwent a major surgical procedure while 1345(22%) required a minor procedure (36% @entity1 did not require any surgical procedure). All cases with uterine @entity397 (73) and extra-uterine pregnancy(10) and the majority with pre-uterine @entity397 and @entity147 required major surgery. The two most prevalent conditions requiring a minor surgical procedure were abortions (61%) and normal delivery (34%). A total of 2544 major procedures were performed on 2534 admitted individuals. Of these, 1650(65%) required spinal and 578(23%) required general anaesthesia; 2341(92%) procedures were performed by 'general practitioners with surgical skills' and in 2451(96%) cases, anaesthesia was provided by nurses. Of 2534 hospital admissions related to major procedures, 2467(97%) were discharged, 21(0.8%) were referred to tertiary care and 2(0.1%) died. CONCLUSION: Overall, the @entity2143 surgical volume in rural Burundi is high with nearly six out of ten referrals requiring surgical intervention. Nonetheless, good quality care could be achieved by trained, non-specialist staff. The post-2015 development agenda needs to take this into consideration if it is to make progress towards reducing maternal mortality in Africa.

Emergency XXXX care in a rural district of Burundi: What are the surgical needs?

@entity1 :: ('9606', 'Species') :: ['women', 'human'] @entity2143 :: ('MESH:D048949', 'Disease') :: ['obstetric'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity147 :: ('MESH:D005316', 'Disease') :: ['foetal distress']
@entity2143 :: (MESH:D048949,Disease) :: ['obstetric']
