Provision of emergency obstetric care at secondary level in a conflict setting in a rural area of Afghanistan – is the hospital fulfilling its role?

Table 4 Obstetric interventions by type among women admitted to the MSF Khost maternity hospital, Afghanistan, 2013–2014

Variable	N	(%)
Mode of delivery
No delivery	2528	(8)
Spontaneous vaginal delivery	25,722	(86)
Instrumental vaginal delivery	507	(2)
Caesarean section	815	(3)
Not recorded	304	(1)
Women with other obstetric interventions^a	6390	(21)
Medical interventions
Rho(D) immunoglobulin	1081	(4)
Augmentation of labour	364	(1)
Induction of labour	316	(1)
Obstetrical manoeuvre^b	194	(1)
Tocolysis / pulmonary maturation	18	(< 1)
Additional medical treatment of incomplete abortion	16	(< 1)
Additional medical treatment of postpartum haemorrhage	11	(< 1)
Blood transfusion	1	(< 1)
Surgical interventions
Episiotomy	2597	(9)
Manual vacuum aspiration	1566	(5)
Suturing of tears	1055	(4)
Manual removal of placenta	169	(1)
Uterine revision	162	(1)
Tubal ligation	74	(< 1)
Hysterectomy	68	(< 1)
Digital curettage	15	(< 1)
Balloon tamponade	7	(< 1)
Salpingectomy	4	(< 1)
Dilatation and curettage	2	(< 1)
Other laparotomy	8	(< 1)
Other intervention	21	(< 1)

^aExcluding Caesarean section; some women underwent more than one intervention
^bObstetrical manoeuvres: to manage shoulder dystocia, breech delivery, OP position, etc.

ISSN: 1752-1505