Abstract：
Despite increasing cesarean rates in Africa, there remain extensive gaps in the standard provision of care after cesarean birth. We present recommendations for discharge instructions to be provided to women following cesarean delivery in Rwanda, particularly rural Rwanda, and with consideration of adaptable guidelines for sub-Saharan Africa, to support recovery during the postpartum period. These guidelines were developed by a Technical Advisory Group comprised of clinical, program, policy, and research experts with extensive knowledge of cesarean care in Africa. The final instructions delineate between normal and abnormal recovery symptoms and advise when to seek care. The instructions align with global postpartum care guidelines, with additional emphasis on care practices more common in the region and address barriers that women delivering via cesarean may encounter in Africa. The recommended timeline of postpartum visits and visit activities reflect the World Health Organization protocols and provide additional activities to support women who give birth via cesarean. These guidelines aim to standardize communication with women at the time of discharge after cesarean birth in Africa, with the goal of improved confidence and clinical outcomes among these individuals.
摘要：
尽管非洲的剖宫产率不断上升，在标准提供剖宫产后护理方面仍然存在很大差距.我们提出了在卢旺达剖腹产后向妇女提供出院指导的建议，特别是卢旺达农村地区，并考虑到撒哈拉以南非洲的适应性准则，以支持产后期间的恢复。这些指南是由一个由临床组成的技术咨询小组制定的，程序,政策,和研究专家与广泛的知识在非洲的剖宫产护理。最终的说明在正常和异常恢复症状之间进行了划分，并建议何时寻求护理。说明符合全球产后护理指南，进一步强调在该地区更常见的护理实践，并解决在非洲通过剖宫产分娩的妇女可能遇到的障碍。产后访视和访视活动的建议时间表反映了世界卫生组织的协议，并提供了额外的活动，以支持通过剖宫产分娩的妇女。这些指南旨在规范非洲剖宫产后出院时与妇女的沟通，目的是提高这些个体的信心和临床结局。
