Indications for Caesarean Section at a Nigerian District Hospital
DOI:
https://doi.org/10.60787/tnhj.v12i2.89Keywords:
Caesarean Section, Indications, Nigerian HospitalAbstract
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.
Downloads
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
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2015 The Nigerian Health Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.
