Pattern and Outcome of Higher Order Caesarean Section in a Tertiary Health Institution in Nigeria

Orazulike, Ngozi; Alegbeleye, Justina Omoikhefe

doi:10.9734/ijtdh/2016/27126

Cited by 3 publications

(8 citation statements)

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“…8 The incidence of lower segment Caesarean section (CS) has increased worldwide in the last few decades. 9,10,11 During the past several decades, cesarean section (CS) has become a common operative procedure, with the proportion of women giving birth by CS increasing over time in all over the world. 12 The rising incidence of caesarean section all over the world has been of great concern both to the patients and obstetrician.…”

Section: Introductionmentioning

confidence: 99%

“…5,13 Repeat caesarean section is one of the major reasons which have contributed greatly to high caesarean section (CS) rate. 9,13 The incidence of primary and repeat caesarean section is increasing all over the world, primarily due to maternal preferences, medical disorders in pregnancy and extensive intrapartum fetal monitoring. 9 The observed increase in cesarean birth has been attributed to a number of factors.…”

Section: Introductionmentioning

confidence: 99%

“…9,13 The incidence of primary and repeat caesarean section is increasing all over the world, primarily due to maternal preferences, medical disorders in pregnancy and extensive intrapartum fetal monitoring. 9 The observed increase in cesarean birth has been attributed to a number of factors. 12 The common indications for caesarean section are previous caesarean section, foetal distress, premature rupture of membranes, cephalo pelvic disproportion, breech presentation, obstructed labour, twin pregnancy, high blood pressure in the mother, problems with the placenta, umbilical cord etc.…”

Section: Introductionmentioning

confidence: 99%

“…These rising rates of primary and repeat cesareans are responsible for increasing proportion of pregnant women with complications of prior CS. 8,9 When medically justified, a caesarean section can effectively prevent maternal and perinatal mortality and morbidity. CS constitutes a major surgical procedure and, as such, is associated with a number of surgical complications.…”

Section: Introductionmentioning

confidence: 99%

“…8 Elective repeat lower segment caesarean section is associated with better maternal and perinatal outcome, less blood loss and less blood transfusion compared with emergency repeat lower segment caesarean section. 9 The evolution of cesarean delivery as a safe procedure with low maternal and neonatal morbidity and mortality rate has been one of the most important development in modern obstetric care. Improvement in surgical care such as lower segment cesarean section, aseptic technique, safe anesthesia, antibiotic prophylaxis and the availability of safe blood transfusion have decreased maternal morbidity associated with the surgical procedure.…”

Section: Introductionmentioning

confidence: 99%

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Repeat Caesarean Sections: Complications and Outcomes

Ghani

Ila

Ferdouse

et al. 2019

J Shaheed Suhrawardy Med Coll

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Background: The rising incidence of caesarean section all over the world has been of great concern both to the patients and obstetrician.1 Repeat caesarean section is one of the major reasons which have contributed greatly to high caesarean section (CS) rate.1,2 Although maternal death as a result of CS is now rare, reports of the short-and long-term consequences of the rising CS rate on the childbearing population are conflicting.3 Available data show that repeat caesarean section is associated with many maternal complications, specially intra-abdominal adhesions, central placenta praevia, uterine rupture, caesarean scar pregnancy, caesarean hysterectomy etc.4 Objective: To evaluate outcome and complications of multiple repeat caesarean section. Methodology: This was a cross sectional prospective study conducted in Shaheed Suhrawardy Medical College Hospital (ShSMCH) from 1st June’2016 to 30th November’2016 for a period of six months. The study population were 102 patients, selected randomly who were admitted in ShSMCH for repeat caesarean section. Results: Out of 102 patients admitted with history of previous caesarean section, maternal morbidity was 26 (25.49%), which includes intra-abdominal adhesions 19 (18.62%), excessive blood loss 6(5.88%), placenta praevia 4 (3.94%), placenta accreta 1 (.98%), postpartum haemorrhage 11 (10.78%), wound infection 12 (11.76%) etc. Conclusion: As the rate of repeat caesarean section continue to rise, surgeons should be more judgemental in doing caesarean section. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 74-79

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Repeat Caesarean Sections: Complications and Outcomes

Ghani

Ila

Ferdouse

et al. 2019

J Shaheed Suhrawardy Med Coll

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Prevalence and risk factor of postoperative adhesions following repeated cesarean section: A prospective cohort study

Aboshama

Taha

Halim

et al. 2022

Intl J Gynecology & Obste

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Cesarean delivery is a commonly practiced obstetrical surgical intervention. 1 Its rate has risen worldwide, 1 reaching 52% in 2018 in Egypt. 2 This leads to increased repeat cesarean deliveries and related morbidity. 3 Intraperitoneal adhesions result from abdominal or pelvic surgeries. They have serious consequences such as intestinal obstruction, chronic pelvic pain, ectopic pregnancy, infertility, visceral

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Obstetric Outcomes in High-Order Repeat Caesarean Deliveries in Nigeria: A Single-Center Retrospective Study

Okunola¹,

Bola-Oyebamiji²,

Sowemimo³

et al. 2022

JFRH

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Objective: Our aim was to evaluate the trend of effect of prior caesarean delivery (CD) on obstetric outcomes; and to investigate the existence of a threshold for order of CD associated with geometrical increase in complications. Materials and methods: We performed a retrospective cohort study of 942 parturients who undergone CD between June 2012 and May 2015 in a teaching hospital in Nigeria. The participants were stratified by the order of caesarean deliveries. We used linear-to-linear association to assess presence of a trend between the order of CD and categorical variables while Jonckheere-Terpstra was used to investigate whether a trend exist between order of CD and continuous variables. We also used multivariate logistic regression to evaluate the relative risk ratio of the outcome variables for each order of CD. Results: Composite adverse maternal outcome depicted a significant increasing trend from 1st CD (5.2%) to the 5thCD (50%). The relative risk ratio for composite adverse maternal outcome increased arithmetically from 1st CD to 3rd CD: RRR2.21, 95%CI 1.2-3.98 for 2ndCD; RRR3.39, 95%CI 1.60-9.27 for 3rdCD; followed by a geometric increase between 3rdCD and 4thCD (RRR11.64, 95%CI 3.20-18.86). In contrast, composite adverse fetal outcome did not depict a significant trend. However, perinatal death increased significantly from primary CD (4.6%) to 5thCD (33.3%). Conclusion: Maternal and fetal complications of repeat CD increase with increasing order of CD; and this trend became astronomical after the third CD. Couples should be counselled that both maternal and fetal complications increase with each additional CD and advised strongly to forgo future pregnancies after the 3rd CD.

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Pattern and Outcome of Higher Order Caesarean Section in a Tertiary Health Institution in Nigeria

Cited by 3 publications

References 0 publications

Repeat Caesarean Sections: Complications and Outcomes

Repeat Caesarean Sections: Complications and Outcomes

Prevalence and risk factor of postoperative adhesions following repeated cesarean section: A prospective cohort study

Obstetric Outcomes in High-Order Repeat Caesarean Deliveries in Nigeria: A Single-Center Retrospective Study

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