Range across hospitals | Regional hospital | Urban district hospital | Rural district hospital | Total | |
N women | 54–619 | 2693 | 1659 | 782 | 5134 |
Cadre of provider deciding to perform caesarean | |||||
Obstetrician | 0–100 | 69.6 | 75.5 | 0.4 | 60.9 |
Generalist doctor with emergency surgical training | 0–96 | 5.0 | 23.5 | 52.7 | 18.2 |
Generalist doctor | 0–68 | 9.0 | 0.4 | 26.0 | 8.7 |
Midwife | 0–100 | 16.1 | 0.4 | 7.5 | 9.7 |
Non-physician provider with surgical skills* | 0–94 | 0.3 | 0.1 | 13.0 | 2.3 |
Missing | 0–2 | 0.1 | – | 0.4 | 0.1 |
Cadre of provider who performed caesarean | |||||
Obstetrician | 0–100 | 28.3 | 68.9 | 0.1 | 37.1 |
Generalist doctor | 0–88 | 13.0 | 11.8 | 44.6 | 17.4 |
Non-physician provider with obstetrics skills† | 0–65 | 8.0 | 0.2 | 0.6 | 4.4 |
Non-physician provider with surgical skills* | 0–94 | 48.3 | 18.9 | 54.2 | 39.7 |
Missing | 0–8 | 2.4 | 0.2 | 0.4 | 1.4 |
Decision-to-incision interval | |||||
<60 min | 3–84 | 64.1 | 61.2 | 31.6 | 60.3 |
≥60 min | 1–54 | 18.7 | 11.4 | 17.0 | 16.1 |
Missing | 3–97 | 13.2 | 27.4 | 51.4 | 23.6 |
Type of anaesthesia | |||||
Spinal | 30–100 | 83.8 | 91 | 94.5 | 87.7 |
General/other | 0–70 | 16.0 | 7.7 | 4.2 | 11.5 |
Missing | 0–4 | 0.3 | 1.3 | 1.3 | 0.8 |
Type of skin incision | |||||
Joel-Cohen | 9–100 | 79.6 | 83.1 | 77.5 | 80.4 |
Pfannenstiel | 0–84 | 16.8 | 12.1 | 9.7 | 14.2 |
Midline/other | 0–11 | 2.8 | 1.1 | 0.9 | 1.9 |
Missing | 0–39 | 0.8 | 3.7 | 11.9 | 3.4 |
Type of uterine incision | |||||
Lower segment | 45–100 | 94.7 | 98.3 | 94.8 | 95.9 |
Other | 0–55 | 5.2 | 0.6 | 1.3 | 3.1 |
Missing | 0–12 | 0.1 | 1.1 | 4.0 | 1.0 |
Antibiotic administration | |||||
Antibiotics before incision | 0–87 | 32.5 | 26.6 | 15.0 | 27.9 |
Antibiotics after incision | 0–94 | 49.1 | 39.0 | 45.7 | 45.3 |
Antibiotics, timing unclear | 2–95 | 12.6 | 32.9 | 35.2 | 22.6 |
No recorded antibiotics | 0–10 | 2.0 | 0.5 | 0.4 | 1.3 |
Missing | 0–22 | 3.9 | 0.9 | 3.8 | 2.9 |
*Nurses or midwives with additional 3-year training in surgery;
†Midwives with additional 3-year training in obstetrics and gynaecology, including performing caesareans.