Caesarean Section and Perinatal Outcome in a Sub-urban Tertiary Hospital in Northwest Nigeria

Abstract

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.

Feto-maternal Outcomes of Emergency Caesarean Section following Residential Posting at Dhading District Hospital

“…Benzouina et al3 30.49% and Bhandari14 42.6%. Contrary to above, it was CPD in studies by Shah et al8 and Moges et al 38.1%4 ; non-progression of labour (NPOL) in studies by Nnadi et al 25.7% 1 and Grace et al 37.4%9 ; and obstructed labor in study by Ugwa et al 31.7% 17. Rampant use of misoprostol leading to meconium stained liquor may result in fetal distress and in addition less priority may be given for conservative management of fetal distress leading to increased CS in such cases.…”