Starvation in the midst of plenty… of caesarean deliveries
The capacity to perform caesarean delivery (CD) at facilities in low- and middle-income countries including South Africa is now a well-documented global public health concern.1 Where public sector district-level facilities struggle to provide reliable access to safe CD, patients are referred (or self-referred) to busy urban and peri-urban regional and central hospitals. Here, the tension of balancing heavy elective caesarean and emergency caesarean caseloads is acutely felt. As the caesarean rate in South Africa progressively rises,2 there is the growing need for elective repeat CD that compounds the service pressure.
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