Number of emergency caesarean delivery procedures by indication under a baseline scenario and an ‘Improved’ scenario in which there are no bottlenecks to emergency caesarean delivery in hospital facilities*
| Indication | Baseline | Improved | Difference | % of total difference |
| Obstructed labour | 13 214 | 18 330 | 5116 | 36 |
| Pre-eclampsia/eclampsia | 2241 | 5469 | 3228 | 23 |
| AIPH-abruption | 495 | 1280 | 785 | 6 |
| AIPH-placenta previa | 166 | 422 | 256 | 2 |
| AIPH-ruptured uterus | 231 | 432 | 201 | 1 |
| SFD-MB | 73 | 242 | 169 | 1 |
| SFD-IUGR | 698 | 2327 | 1629 | 11 |
| SFD-breech | 73 | 241 | 168 | 1 |
| SFD-cord | 284 | 949 | 665 | 5 |
| SFD-other | 837 | 2789 | 1952 | 14 |
| Total procedures | 18 312 | 32 481 | 14 169 | 100 |
| Deaths Averted | ||||
| Maternal | 154 | 6.2 | ||
| Fetal | 2339 | 93.8 | ||
| Total | 2493 | |||
| Deaths averted per emergency caesarean | ||||
| Maternal | 0.011 | |||
| Fetal | 0.165 | |||
| Total | 0.178 | |||
*The total number of hospital deliveries was 258 630. In the ‘baseline’ scenario, the emergency caesarean delivery rate is about 7.1% for hospital deliveries, and in the ‘improved scenario’—representing 99% coverage of emergency caesarean delivery in hospital setting—the emergency caesarean delivery rate increases to 12.3% of hospital deliveries. In both scenarios, the analysis assumed no non-emergency caesarean deliveries occur for reasons such as maternal request, revenue maximisation or scheduling convenience.
AIPH, ante/intrapartum haemorrhage; IUGR, intrauterine growth rate; MB, multiple births; SFD, significant fetal distress.