TITLE:
A Review of Caesarean Delivery at the Kogi State Specialist Hospital, Lokoja, Nigeria
AUTHORS:
Dorcas Salime Onuminya
KEYWORDS:
Caesarean Delivery, Indications, Maternal, Morbidity, Mortality, Outcomes, Nigeria, Perinatal
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.4,
April
27,
2023
ABSTRACT: Background: Caesarean delivery rate is increasing
globally including in Nigeria. Caesarean delivery is a life-saving surgery for both mother and child. Objective: The aim of the study was to
assess the caesarean delivery rate at the Kogi State Specialist Hospital,
Lokoja, Nigeria over a one-year period. Methods: This was a prospective assessment of the demographic characteristics of
patients, indications, types, rates and outcomes of Caesarean delivery in Kogi State Specialist Hospital,
Lokoja, Nigeria from December 15, 2020 to December 14, 2021. Data collected
were analyzed using SPSS version 20.0 statistical package (IBM Corp. Released 2011. IBM SPSS
Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp). The categorical data were
displayed using tables and charts. Results: There was a total of 491 deliveries, out of which were 113 Caesarean deliveries and 378 spontaneous vaginal deliveries making the
Caesarean delivery rate
in Kogi State Specialist Hospital, Lokoja, Nigeria 23.0%. There were no instrumental
deliveries during the study period. The commonest indication for Caesarean
section was obstructed labour in 31% of
cases. There was no maternal mortality. There were three early neonatal deaths
due to severe birth asphyxia. Conclusion: The rate of Caesarean delivery in this study was 23.0% and obstructed labour
was the leading indication in 31% of cases. The rate of Caesarean delivery in
this study is high, albeit the overall outcome was good for both mother and
child. Caesarean delivery, therefore, remains
one of the means for reducing maternal and perinatal morbidity and mortality in
Nigeria.