Audit of medical records keeping at a Nigerian geriatric clinic

Prevalence, indications, and complications of caesarean section in health facilities across Nigeria: a systematic review and meta-analysis

“…Forty-four of these were included in the meta-analysis, having all reported on CS prevalence [ 21 – 63 , 65 ]. However, only 31 articles [ 21 – 24 , 27 , 28 , 30 – 32 , 35 , 37 , 38 , 41 , 42 , 44 – 46 , 48 – 50 , 55 – 61 , 63 , 64 ] reported the indications or complications of CS and, as such, were included in the narrative synthesis. These are presented in the PRISMA flow diagram (Fig.…”

“…Almost all included studies (41 [91.1%]) applied cross-sectional study design [ 21 , 22 , 24 – 28 , 30 – 57 , 65 ]. Of all the included studies, 27 (60.0%) were conducted in health facilities situated in the southern states [ 21 , 23 – 25 , 28 , 29 , 32 , 34 , 36 , 38 – 40 , 44 – 47 , 49 – 53 , 56 , 57 , 59 , 60 , 63 , 65 ] while 17 (37.7%) were in health facilities situated in the northern states [ 22 , 26 , 27 , 30 , 31 , 33 , 35 , 37 , 41 – 43 , 48 , 55 , 58 , 61 , 64 ]. Also, 82.2% of the included studies were conducted in public [ 21 – 38 , 40 , 42 , 44 – 55 , 57 , 58 , 60 – 62 , 64 , 65 ] and 80.0% were conducted in tertiary [ 21 – 40 , 42 , 44 – 47 , 49 – 55 , 57 , 58 , 60 – 62 ,…”

“…Also, 82.2% of the included studies were conducted in public [ 21 – 38 , 40 , 42 , 44 – 55 , 57 , 58 , 60 – 62 , 64 , 65 ] and 80.0% were conducted in tertiary [ 21 – 40 , 42 , 44 – 47 , 49 – 55 , 57 , 58 , 60 – 62 , 65 ] facilities. Also, 32 (71.1%) studies [ 21 – 44 , 58 – 64 ] were conducted between 2000 and 2014 (pre-WHO CS statement), while eight (17.8%) studies [ 45 – 52 ] were conducted after the WHO statement was published (i.e., from 2015). The remaining five (11.1%) studies [ 53 – 57 ] had their study periods overlapping both timeframes (Table 1 ).…”

“…Based on the findings from the quality assessment, 29 (64.4%) articles [ 23 – 27 , 33 – 35 , 37 – 39 , 42 , 44 – 46 , 48 – 60 , 63 ] were of high quality. Of the remaining, ten (22.2%) studies were of medium quality [ 21 , 22 , 29 , 30 , 36 , 41 , 43 , 47 , 65 ] and six (13.3%) were of low quality [ 31 , 32 , 40 , 61 , 62 , 64 ], largely due to a failure to adequately describe study subjects and settings. Other reasons were poor use of statistical analytical methods and a lack of standard criteria for measurements used (Table 2 ).…”

“…From the 28 included studies that reported indications [ 22 – 24 , 30 – 32 , 37 , 38 , 41 , 42 , 44 – 46 , 48 – 50 , 55 – 64 ], previous scar/CS (3.5–33.5%) and hypertensive disorders in pregnancy (5.5–30.0%) were the most common indications for CS, with 22 (84.6%) of these studies reporting both. Other common indications were cephalopelvic disproportion (CPD), foetal distress, obstructed labour antepartum haemorrhage and multiple pregnancies, with at least 15 (57.7%) studies reporting their occurrence.…”