Prevalence of Caesarean Section Deliveries Among Primigravidae in General Hospital Gboko, Benue State, Nigeria (original) (raw)
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Prevalence and indications for caesarean section in Enugu state, Nigeria
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Caesarean section (C/S) is one of the commonly performed surgical procedures in obstetrics. This procedure has been on the increase in the past decade, creating a public health concern. The objective of this study was to determine the prevalence and predictors of C/S delivery in a tertiary health facility in Nigeria.Methods: A prospective cohort study conducted at a tertiary health facility in Nigeria. Data was retrieved from the delivery cards of the mothers. Data was analysed using SPSS version 25 and variables were presented as frequencies, percentages, means, and standard deviation. Chi-square test was performed with the level of significance set at p≤0.05. Binary logistic regression was used to determine factors that predicted C/S delivery.Results: The prevalence of C/S was 48.3%. Commonest indication for C/S was 2 or more previous C/S. Mothers aged >30 years, employed, higher educational level, higher parity and delivered preterm predicted C/S delivery on logist...
Caesarean Section and Perinatal Outcome in a Sub-urban Tertiary Hospital in Northwest Nigeria
Nepal Journal of Obstetrics and Gynaecology, 2016
Aims: This study was undertaken to review the caesarean section rate and perinatal mortality in Federal Medical Centre, Birnin Kudu from 1 January 2010 to 31 December 2012. 0HWKRGV 7KLV ZDV D UHWURVSHFWLYH VWXG\ LQYROYLQJ UHYLHZ RI FDVH ¿OHV (WKLFDO FOHDUDQFH ZDV REWDLQHG 7KH UHFRUGV RI labour ward, neonatal intensive care unit and operating theatre were use. Information extracted includes age, parity, booking status, total deliveries, indications for caesarean section and perinatal outcome from 1st January 2010 to 31st December DW)HGHUDO 0HGLFDO &HQWUH %LUQLQ .XGX 7KH GDWD REWDLQHG ZDV DQDO\]HG XVLQJ 6366 YHUVLRQ VWDWLVWLFDO VRIWZDUH (Chicago). Absolute numbers and simple percentages were used to describe categorical variables. Results: A total of 590 caesarean sections were done which is rate of 17.69%. Of the 590 caesarean deliveries, 580 case notes ZHUH UHWULHYHG JLYLQJ D UHWULHYDO UDWH RI $ WRWDO RI RXW RI EDELHV GLHG ZLWKLQ WKH ¿UVW RQH ZHHN RI FDHVDUHDQ delivery, giving a perinatal mortality rate of 17.4 per 1000. The average age of the women was 25.9±6.2 years. Majority of them were uneducated and unemployed. Obstructed labour was the most common indication for emergency caesarean section accounting for 31.7% of caesarean sections followed by pre-eclampsia/eclampsia. Conclusions: Caesarean section rate in the present study is comparatively high and perinatal mortality is low but it is unclear if there is a correlation between caesarean section rate and perinatal mortality. This needs further studies. .H\ZRUGV caesarean section; Northwest Nigeria; perinatal outcomes.
Caesarean section and perinatal outcomes in a sub-urban tertiary hospital in North-West Nigeria
Nigerian medical journal : journal of the Nigeria Medical Association
This study was undertaken to review the caesarean section rate and perinatal mortality in Federal Medical Centre, Birnin Kudu from 1(st) January 2010 to 31st December, 2012. This was a retrospective study involving review of 580 case files. Ethical clearance was obtained. The records of labour ward, neonatal intensive care unit (ICU) and operating theatre were use. Information extracted includes age, parity, booking status, total deliveries, indications for caesarean section and perinatal outcome from 1(st) January 2010 to 31(st) December 2012 at Federal Medical Centre, Birnin Kudu. The data obtained was analysed using SPSS version 17.0 statistical software (Chicago, Il, USA). Absolute numbers and simple percentages were used to describe categorical variables. Association between caesarean section and perinatal mortality was determined using Pearson's Coefficient of correlation and student t- test. P - value < 0.05 was considered statistically significant. This study reported...
Caesarean Section in a Tertiary Hospital in South-South, Nigeria: A 3-year Review
European Journal of Medical and Health Sciences, 2021
Background: Caesarean section is the delivery of the foetus, placenta, and foetal membranes through an incision on the abdominal and uterine walls after the age of foetal viability. It is a life-saving surgical procedure, which has helped reduce maternal and perinatal morbidity and mortality over the years. Objective: To determine the rates, indications, outcomes, and complications of Caesarean section at the Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria. Materials and Methods: This research was carried out at the Department of Obstetrics and Gynaecology, Federal Medical Centre (FMC), Yenagoa, Bayelsa State, South-South, Nigeria between 1st January 2018 and 31st December 2020. It was a retrospective study. Data was retrieved from the labour ward records, delivery register, theatre records, and patients’ folders during the period under review, and entered into a pre-designed proforma. Data were analysed with IBM SPSS version 23.0. Results were presented in frequencies and p...
2021
Background: Caesarean section (CS) is a major obstetric surgery done for pregnant women and is lifesaving. Aim: The study was aimed at reviewing CS at the Rivers State University Teaching Hospital (RSUTH), to determine the prevalence, trend and indications, for improved management outcomes. Methods: In this cross-sectional study, we reviewed five thousand, five hundred and ninety-eight (5598) cases of caesarean sections (3699 emergency, 1899 planned) managed at the RSUTH from 1 st January, 2015 to 31 st December, 2019. Data collected were analysed using IBM, Statistical Product and Service Solutions (SPSS), version 25.0 Armonk, New York. Results: There were 13,516 deliveries and 5,598 cases of CS over the review period, giving the prevalence of CS as 41.4% or 414 per 1000 deliveries. Emergency and planned CS cases accounted for 66.1% and 33.9% respectively. An increasing trend of CS was observed over the Original Research Article
Annals of African Medicine, 2009
Objective: To determine the trend and indications for the use of caesarean delivery in our environment. Method: A retrospective review of the caesarean sections performed at University of Maiduguri Teaching Hospital from January 2000 to December 2005 inclusive. Results: During the study period, there were 10,097 deliveries and 1192 caesarean sections giving a caesarean section rate of 11.8%. The major maternal indications were cephalopelvic disproportion (15.5%), previous caesarean section (14.7%), eclampsia (7.2%), failed induction of labor (5.5%), and placenta previa (5.1%). Fetal distress (9.6%), breech presentation (4.7%), fetal macrosomia (4.3%), and pregnancy complicated by multiple fetuses (4.2%) were the major fetal indications. The caesarean section rate showed a steady increase over the years (7.20% in 2000-13.95% in 2005), but yearly analysis of the demographic characteristics, type of caesarean section, and the major indications did not reveal any consistent changes to account for the rising trend except for the increasing frequency of fetal distress as an indication of caesarean section over the years, which was also not statistically signifi cant (χ [2] =8.08; P=0.12). The overall perinatal mortality in the study population was found to be 72.7/1000 birth and despite the rising rate of caesarean section, the perinatal outcomes did not improve over the years. Conclusion: Trial of vaginal birth after caesarean section in appropriate cases and use of cardiotocography for continuous fetal heart rate monitoring in labor with confi rmation of suspected fetal distress through fetal blood acid-base study are recommended. A prospective study may reveal some of the other reasons for the increasing caesarean section rate.
The Rate of Caesarean Section in Nnewi, Nigeria: A 10-year Review
Background: There is widespread public and professional concern about the increasing proportion of births by caesarean section (c/s). Objectives: This study is to determine the c/s rate, the indications and the reasons for the high rate. Methods: The obstetric records of all caesarean deliveries that occurred at Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, South-Eastern Nigeria, between 1st January, 1999 and 31st December, 2008 were reviewed retrospectively. Results: Of the 6,015 deliveries, 1,114 were by C/S giving an overall rate of 18.5%. Caesarian birth rose from approximately 1 in 7 deliveries in 1999 to 1 in 4 deliveries in 2008 and this was 2 statistically significant (x =20.75; df=1; p<0.05). A new peak of 26.9% was recorded in 2008 for C/S rate. The mean age of the patients was 30.8 ± 5.1 years and 37.4% of the patients were primiparous. However, 31.8% of the women were unbooked cases, and the majority (96.4%) of these unbooked cases had emergency C/S. Pre...
Caesarean Section Rate in a Tertiary Hospital in Makurdi, North-Central Nigeria
General Medicine: Open Access, 2015
is a new tertiary health care institution which was established by an Act of the Benue State House of Assembly and started offering clinical services in 2012. Background: There is widespread concern about the increasing proportion of births by caesarean section (CS) all over the world. Objectives: This study is to determine the CS rate, the indications, the trend and possible reasons for the rate in a new and emerging tertiary hospital.
Caesarean section – an appraisal of some predictive factors in Lagos Nigeria
BMC Pregnancy and Childbirth
Background: Several maternity units in the developing world lack facilities for caesarean section and often have to transfer patients in extremis. This case controlled study aimed to appraise predictive factors for caesarean section. Methods: One hundred and fifty two consecutive women with singleton pregnancies who had caesarean section were studied. The next parturient with normal delivery served as control. Variables such as age, parity, marital status, booking status, past obstetric history, weight, height, infant birth weight were assessed. Data obtained were analysed using SPSS 16.0 Windows package. Results: During the study period, there were 641 deliveries with 257 of them by caesarean section (40.1%). Logistic regression analysis showed that parity, booking status, maternal height; maternal weight, birth weight, previous caesarean section and ante-partum bleeding were significant predictive factors for caesarean section while maternal age was not. Conclusions: These predictive factors should be considered in antenatal counseling to facilitate acceptance by at risk women and early referral.
A multi-level analysis of prevalence and factors associated with caesarean section in Nigeria
PLOS Global Public Health
The choice of caesarean section (CS) plays a significant role in maternal and neonatal health. However, suboptimal CS uptake suggests unmet obstetric care leading to adverse maternal and neonatal health. Considering that maternal health problems in Nigeria remain a public health problem, this present study aims to assess the prevalence and multilevel factors associated with caesarean section among women of reproductive age in Nigeria. Data from the 2018 Nigeria Demographic and Health Survey were analysed. Our analyses included 19,964 women of reproductive age, with their last birth within five years preceding the survey. Multilevel logistic regression analysis was carried out to examine the predictors of the caesarean section in Nigeria. The prevalence of CS among women of reproductive age in Nigeria was 3.11%. Women from the Yoruba ethnic group [aOR = 0.52; 95%(CI = (0.32–0.84)], with two children [aOR = 0.67; 95%(CI = 0.52–0.88)], three children [aOR = 0.49; 95%(CI = 0.36–0.66)], ...