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.

Background: Uterine inversion is a rare obstetric emergency with associated high maternal morbidity and mortality if intervention is delayed. The low incidence of uterine inversion results in sparse experience in resolving this obstetric emergency. There are many treatment strategies, but they are poorly described. The aim of this paper is to describe a rare case of acute uterine inversion and discuss it's management. Methods: A rare case report of acute uterine inversion following delivery in a multiparus woman which was treated promptly by obstetric team intervention with good outcome. Results: We were able to recognize the acute inversion of the uterus postpartum and offered manual uterine reversal using Johnson maneuver at an early stage without complications. The risk factor for uterine inversion was the fundal implantation of the placenta. Conclusions: The best management options for acute inversion of the uterus are not known, it is however important to keep in mind this diagnosis and be updated about the strategies required to achieve uterine reversal at an early stage.

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