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Caesarean section at a tertiary institution in Southwestern Nigeria—A 6-year audit

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DOI: 10.4236/ojog.2013.33066    3,531 Downloads   6,006 Views   Citations

ABSTRACT

Introduction: Caesarean section is one of the commonest surgical procedures worldwide. Its upward trend and associated morbidity/mortality especially in low-resource setting makes regular appraisal of the practice necessary. Methodology: A retrospective study. Labour ward logbook and case records were looked into, and all information extracted. Results: Caesarean section rate was 35.5%, with an upward trend. Perinatal death was still high. Main indication was previous caesarean section followed by obstructed labour while major maternal morbidity was wound sepsis. Identifiable factors to perinatal death were multiparity, emergency caesarean section and women that were referred to our health facility. Conclusion: Risk appraisal and all efforts must be geared towards reducing caesarean section rate especially in our environment where subsequent deliveries might not be attended to by skilled health personnel.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Adekanle, D. , Adeyemi, A. and Fasanu, A. (2013) Caesarean section at a tertiary institution in Southwestern Nigeria—A 6-year audit. Open Journal of Obstetrics and Gynecology, 3, 357-361. doi: 10.4236/ojog.2013.33066.

References

[1] Awoyinka, B.S., Ayinde, O.A. and Omigbodun, A.O. (2006) Acceptability of Caesarean delivery to antenatal patients in a Tertiary health facility in South-West Nigeria. Journal of Obstetrics & Gynaecology, 26, 208-210. doi:10.1080/01443610500508311
[2] Okezie, A.O., Oyefara, B. and Chigbu, C.A. (2007) A 4-year analysis of caesarean delivery in a Nigeria Teaching Hospital. One quarter of babies born surgically. Journal of Obstetrics & Gynaecology, 27, 470-474. doi:10.1080/01443610701405945
[3] Igberase, G.O., Ebeigbe, P.N. and Andrew, B.O. (2009) High caesarean section rate: A ten-year experience in a tertiary hospital in the Niger Delta, Nigeria. Nigerian Journal of Clinical Practice, 12, 294-297.
[4] Ikeako, L.C., Nwajiaku, L. and Ezegwui, H.U. (2009) Caesarean section in a secondary health hospital in Awka, Nigeria. Nigerian Medical Journal, 50, 64-67.
[5] Jeremiah, I., Nonye-Enyidah, E. and Fiebai, P. (2011) Attitudes of antenatal patients at a tertiary hospital in Southern Nigeria towards caesarean section. Journal of Public Health and Epidemiology, 3, 617-621.
[6] Sunday-Adeoye, I. and Kalu, C.A. (2011) Pregnant Nigerian women’s view of caesarean section. Nigerian Journal of Clinical Practice, 14, 276-279. doi:10.4103/1119-3077.86766
[7] Ikechebelu, J.I., Mbamara, S.U. and Afuba, A.N. (2010) Vaginal birth after caesarean one section: A review of the practice at Nnewi, southeast Nigeria. Journal of Medicine and Medical Science, 1, 309-313.
[8] Geidam, A.D., Audu, B.M., Kawuwa, B.M. and Obed, J.Y. (2009) Rising trend and indications of caesarean section at the University of Maiduguri teaching hospital, Nigeria. Annals of African Medicine, 8, 127-132.
[9] Naymi, R.S. and Rehan, N. (2000) Prevalence and determinants of caesarean section in a teaching hospital of Pakistan. Journal of Obstetrics & Gynaecology, 20, 479-483. doi:10.1080/01443 6100434640
[10] Penna, L. and Arulkuraman, S. (2003) Caesarean section for nonmedical reasons. International Journal of Gynecology & Obstetrics, 82, 399-409. doi:10.1016/S0020-7292(03)00217-0
[11] Worjoloh, A., Manongi, R., Oneko., O., Hoyo, C., Daltveit, A.K. and Westreich, D. (2012) Trends in cesarean section rates at a large East African referral hospital from 2005-2010. Open Journal of Obstetrics and Gynecology, 2, 255-261. doi:10.4236/ojog.2012.23053
[12] Hall, M.J., DeFrances, C.J., Williams, S.N., et al. (2010) National Hospital discharge survey: 2007 summary. National Health Statistics Reports, 29, 1-24.
[13] Hamilton, B.E., Martin, J.A. and Ventura, S.J. (2010) Births: Preliminary data for 2009. National Vital Statistics Reports, 59, 1-19.
[14] Dey, N. and Hatai, S.K. (1992) A study of caesarean section cases with special reference to maternal and neonatal outcome. Journal of the Indian Medical Association, 90, 149-151.
[15] Martin, J.A., Hamilton, B.E., Ventura, S.J., et al. (2011) Births: Final data for 2009. National Vital Statistics Reports, 60, 1-35.
[16] Oladapo, O.T., Sotunsu, J.O. and Sule-Odu, A.O. (2004) The rise in caesarean birth rate in Sagamu, Nigeria. Reflection of changes in obstetric practice. Journal of Obstetrics & Gynaecology, 24, 377-381. doi:10.1080/01443610410001685484
[17] Robert, M. and Silver, M.D. (2012) Implications of the First Cesarean: Perinatal and Future Reproductive Health and Subsequent Cesareans, Placentation Issues, Uterine Rupture Risk, Morbidity, and Mortality. Seminars in Perinatology, 36, 315-323. doi:10.1053/j.semperi.2012.04.013
[18] Okafor, C.I. and Onwosulu, D.N. (2006) Rising caesarean section rate: Any hope for decline? NAUTH Nnewi experience. Nigerian Medical Journal, 47, 38-40.
[19] Efetie, R.E., Umezulike, A.C. and Agboghoroma, C.O. (2006) Caesarean section at National Hospital Abuja, 1999-2001. ANMINS, 3, 34-39.
[20] Ezechi, O.C., Nwokoro, C.A., Kalu, B.K.E., Njokanma, F.O. and Okeke, G.C.E. (2002) Caesarean morbidity and mortality in a private hospital in Lagos, Nigeria. Tropical Journal of Obstetrics and Gynaecology, 19, 97-100.
[21] Jido, T.A. and Garba, I.D. (2012) Surgical-site infection following caesarean section in Kano, Nigeria. Annals of Medical and Health Sciences Research, 2, 33-36. doi:10.4103/2141-9248.96934
[22] Aboyeji, A.P., Ijaya, M.A. and Yahaya, U.R. (2001) Ruptured uterus: A study of 100 consecutive cases in Ilorin Nigeria. The Journal of Obstetrics and Gyneacology Research, 27, 341-348.
[23] Nyegidiki, T.K. and Allagoa, D.A. (2011) Rupture of gravid uterus in a tertiary health facility in the Niger Delta region of Nigeria: 5-year review. Nigerian Medical Journal, 52, 230-234. doi:10.4103/0300-1652.93794
[24] Michael, L.S. (2012) The influence of practice, management on primary caesarean birth. Seminars in Perinatology, 36, 399-402. doi:10.1053/j.semperi.2012.04.027

  
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