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Lack of safe, affordable, medically indicated caesarean delivery is a primary contributor to global health inequity. In low-income and middle-income countries (LMICs), it perpetuates preventable morbidity and mortality caused by prolonged or obstructed labour. Adequate intervention alone would avert 1 million disability-adjusted life-years (DALYs), with a median benefit-to-cost ratio of 6·0 at US$304 per DALY averted, reflecting an eradicable burden of disease that undermines sustainable development, economic growth, and human rights.
https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(19)30198-6/fulltext
References
Arrowsmith S Hamlin CE Wall LL. Obstructed labor injury complex: obstetric fistula formation and the multifaceted morbidity of maternal birth trauma in the developing world. Obstet Gynecol Surv. 1996; 51: 568-574
Alkire BC Vincent JR Burns CT et al. Obstructed labor and caesarean delivery: the cost and benefit of surgical intervention. PLoS One. 2012; 7: e34595
Gabrysch S Campbell OMR. Still too far to walk: literature review of the determinants of delivery service use. BMC Pregnancy Childbirth. 2009; 9: 34