Indications for Caesarean Section at a Nigerian District Hospital

Authors

  • Yvonne Dabota Buowari General Hospital Aliero, Kebbi State

DOI:

https://doi.org/10.60787/tnhj.v12i2.89

Keywords:

Caesarean Section, Indications, Nigerian Hospital

Abstract

Background: Caesarean section (CS) is a common surgical procedure performed in women of reproductive age. The numerous indications for a CS may be due to foetal or maternal problems. Though it is a lifesaving procedure, it also carries a higher morbidity and mortality than vagina delivery.

Method: This is a retrospective study conducted from January 2005 to December 2006 at a secondary health facility located in a rural setting in Nigeria. The maternity ward and theatre registers were the sources of data.

Results: There were fourteen indications for the 155- caeserean sections performed with obstructed labour being the highest indication. Obstructed labour, eclampsia and pre-eclampsia were the major indications for caeserean section. There were 4 (2.6%) Maternal deaths and 19(12.2%) stillbirths out of the 156 babies delivered.

Conclusion: Lack of utilization antenatal care services present in the locality and late presentation are some of the risks of maternal mortality and poor foetal outcome. The populace needs to be educated on the importance of antenatal care.

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References

Kwawukume EY. Caeserean Section. In Kwawukume EY, Emuveyan E (Editors). Comprehensive obstetrics in the tropics. Asante and Hittcher Printing Press Ltd. Accra. 2000: 321-9

Nwosu C, Agumor K, Aboyeji AP, Ijaiya MA. Outcome of caesarean section in a sub-urban secondary health care facility in Nigeria. Nig Med Pract. 2004, 46(4): 77-79

Penn Z, Ghaem-Maghami S. Indications for caesarean section. Best Practice Res Cli Obstet Gynaecol. 2001. 15(1): 1-15

Otubu JA. Caeserean section. In Agboola A (Editor) Textbook of obstetrics and gynaecology for medical students. Vol 2. Lagos. Heinemann Educational Books (Nigeria) Plc. 1999: 218-231

Marc H. Operative delivery. In Alan HD, Lawre N (Editors) Current obstetrics and gynaecological diagnosis and treatment. Tenth Edition. New York. McGraw Hill Publishers. 2007: 469-476

Sule ST, Matawal BI. Comparison of indications for caeserean section in Zaria, Nigeria 1985-1995. Annals Afr Med. 2003. 2(2): 77-79

Wagner M. Choosing caeserean section. The Lancet. 2000. 356: 1677-1680

Ikeako LC, Nwajaku L, Ezegwui HU. Caesarean section in a secondary health hospital in Awka, Nigeria. Niger Med J. 2009, 50(3): 64-67

Ijawiya MA, Aboyeji AA. Caesarean Delivery: The trend over a ten-year period at Ilorin, Nigeria. Nig J Surg Res. 2011. 3(1): 11-18

Ezechi OC, Nwokoro CA, Kalu BKE, Njokanma FO, Okeke GCE. Caeserean morbidity and mortality in a private hospital in Lagos, Nigeria. Trop J Obstet Gynaecol. 2002. 19: 97-100

Alsien AO, Lawson JO, Adebayo AA. A five-year appraisal of caeserean section in a northern Nigerian University Teaching Hospital. Niger Postgrad Med J. 2002. 9: 146-50

Oladapo OT, Sotunsu JO, Sule-Odu AO. The rise in caeserean birth in Sagamu, Nigeria: reflection ofchanges in obstetrics practice. J Obstet Gynecol. 2004, 24: 377-81

Geidam AD, Audu BM, Kawuwa BM, Obed JY. Rising trends and indications of caeserean section at the University of Maiduguri Teaching Hospital, Nigeria. Annals Afr Med. 2009. 8(2): 127-132

Ebrashy A, Kassab A, Nada A, Saleh W, Solima A. Caeserean section in a university and general tertiary hospitals in Cairo, Egypt: rates, indications, and limits. Kasr Al-Aini J Obstet Gynaecol KAJOG. 2011, 2(1): 20-26

Aboyeji AP, Fawole AA. Maternal mortality associated with caeserean section in Ilorin, Nigeria. Trop J Med Res. 2003, 17(2): 4-7

Omole-Ohonsi A, Ashini AO. Obstructed labour: a six-year review in Aminu Kano Teaching Hospital, Kano, Nigeria. Nig Med Pract. 2007, 51(4): 59-63

Ebeigbe PN, Azken ME. Early Onset pregnancy induced hypertension And Eclampsia in Benin City, Nigeria. Niger J Clin Pract. 2010. 13(4): 388-393

Ajuzieogu OV, Ezike HA, Amucheazi AO, Enwereji J. A retrospective study of the outcome of caeserean section for women with severe pre-eclampsia in a third world setting. Saudi J Anaesth. 2011, 5(1): 5-18

Deley L. Maternal mortality associated with hypertensive disorders of pregnancy in Africa, Latin America, and Caribbean. Bri J Obstet Gynaecol. 1992, 99: 547-53

Gofton E, Capewell V, Natale R, Gratton R. Obstetric intervention rates and maternal and neonatal outcomes of women with gestational hypertension. Am J Obstet Gynecol. 2001, 185:798-803

Terrone D, Isler C, May W, Magann E, Norman P, Martin J. Cardiopulmonary morbidity as a complication of severe pre-eclampsia HELLP Syndrome. J Perinatal. 2000, 20: 78-81

Adekunle DA, Adeyemi AS, Fadero FF. Ante-Partum haemorrhage and pregnancy outcome in LAUTECH teaching hospital, southwestern Nigeria. J Med Medical Sci. 2011, 2(12): 1243-1247

Igwebe A, Ugbeaja J, Obiechia N. An appraisal ofcaesarean section for twin pregnancies in a private hospital in southeast, Nigeria. Global J Med Res. 2010; 10(2): 22-25

Latika S. A 10 years analysis of uterine rupture at a teaching institution. J Obstet Gynaecol India. 2006; 56(6): 502-506

Agida ET, Adeka BI, Jibril KA. Pregnancy outcomes in eclampsia at the University Of Abuja Teaching Hospital, Gwagwalada, Abuja: a 3-year review. Niger J Clin Pract. 2010; 13(4): 394-398

Okeudo C, Ojiyi EC, Ezem BU, Dike EL. Preliminary outcome of the management of eclampsia at The Imo State University Teaching Hospital. Port Harcourt Med J. 2011; 6: 23-29

Adhikari S, Dasgupta M, Sanghamita M. Management of obstructed labour: a retrospective study. J Obstet Gynaecol. 2005; 55(1): 48-51

Okonufua FE, Omo-Aghoja LO, Aisien OA, Akuse JT, Bergstrom S. Maternal mortality and emergency obstetric care in Benin City, South-South Nigeria. J Cli Med Res. 2010; 2(4): 55-60

Owolabi TA, Fatusi AO, Kuti O, Adeyemi A, Farturoti SO, Obiajuwa PO. Maternal complications and perinatal outcomes in booked and unbooked Nigerian mothers. Singapore Med J. 2008; 49(7): 526

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Published

2015-12-09

How to Cite

Buowari, Y. D. (2015). Indications for Caesarean Section at a Nigerian District Hospital. The Nigerian Health Journal, 12(2), 43. https://doi.org/10.60787/tnhj.v12i2.89
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