Caesarean section – an appraisal of some predictive factors in Lagos Nigeria

Akinola, Oluwarotimi Ireti; Fabamwo, Adetokunbo Olusegun; Tayo, Adetokunbo; Rabiu, Kabiru Afolarin; Oshodi, Yusuf A; Alokha, Mercy E

doi:10.1186/1471-2393-14-217

Cited by 38 publications

(51 citation statements)

References 21 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[12][13][14][15][16] Similar patterns were reported from the studies done in Sokoto, Gwagwalada, Zaria, Gombe, Maiduguri, Birnin Kebbi, Birnin Kudu, Sagamu, Lagos, Awka and Jos. [17][18][19][20][21][22][23][24][25][26]28 It was found that, among the leading indications for elective caesarean section in this study were previous caesarean section, breech presentation, suspected fetal macrosomia, abnormal lie and presentation, and twin and higher order multiple pregnancies which are a common trend. Some (5.6%) of the elective caesarean sections were done for prevention of mother to child transmission of HIV; this is relatively high, close to the 7.34% reported in Calabar and reflective of the prevalence of HIV in the south-south region of the country.…”

Section: Discussionmentioning

confidence: 97%

“…In teaching hospitals, documented caesarean section rate was 30.3% in Port Harcourt, 25.6% in Calabar, 27.6% in Enugu, 18.5% in Nnewi, 16.4% in Abakaliki, 11.3% in Sokoto, 21.4% in Abuja, 24.5% in Zaria, 19.8% in Gombe, 11.8% in Maiduguri, 17.69% in Birnin Kudu, 20.3% in Birnin Kebbi, 32.9% in Sagamu, and 40.1% in Lagos. [12][13][14][15][16][17][18][19][20][21][22][23][24][25] In general hospitals, 10.4% was documented in Awka and 5.39% in Calabar, while a private hospital in Jos recorded 8.9%. [26][27][28] This trend exists despite a population level rate as low as 2%, suggesting that assess to caesarean section is skewed; whereas a lot of women lack access to caesarean section to save their lives and that of their babies, some might be undergoing unnecessary procedures.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Towards optimizing caesarean section: a five-year review of caesarean sections at a Southern Nigeria hospital

Osegi

Makinde

2019

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Monitoring caesarean sections at hospital level is essential to reduce unnecessary caesarean sections while still ensuring adequate access to caesarean section. This study was conducted to determine the caesarean section rate and indications for caesarean section at the study centre and provide objective data for institutional interventions towards reducing unnecessary caesarean sections in the centre.Methods: A retrospective descriptive study of patients that had caesarean sections between 1st January 2013 and 31st December 2017 at the Federal Medical Centre, Yenagoa, Nigeria. Data were analyzed using Statistical Package for Social Sciences version 22.Results: There were 5,793 deliveries and 1,654 were by caesarean section. The average caesarean section rate was 28.6%. The leading indications for caesarean section were cephalopelvic disproportion (26.6%), previous cesarean section (18.2%), suspected fetal distress (11.2%), severe preeclampsia/eclampsia (7.9%), obstructed labour (6%), and breech presentation (5.9%).Conclusions: The 28.6% caesarean section rate in this study falls within a widely varied rate across Nigeria at hospital level but is comparable to rates within the south-south geopolitical zone of Nigeria. The leading indications for caesarean section are modifiable, thus there is room for institutional intervention to reduce unnecessary caesarean sections. Collaborative research between institutions is required to assess peculiar regional determinants of caesarean section towards developing suitable interventions to reduce unnecessary caesarean sections regionally.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Towards optimizing caesarean section: a five-year review of caesarean sections at a Southern Nigeria hospital

Osegi

Makinde

2019

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…16 On another hand, ptresent rate is much lower than the rate of 40.1% found in study in Lagos-Nigeria and 43% rate from public hospitals in Brazil. 17,18 Present high caesarean section rate is due to high rate of emergency sections (85.0%), where referral cases are managed from 5 districts and their peripheries as it is the only tertiary care facility in South Kivu Health Division.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with caesarean section at Bukavu Provincial Hospital in Democratic Republic of Congo

Philémon¹,

Julie²,

Ntakwinja³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

INTRODUCTIONIn 2008, the World Health Organisation (WHO) estimated that over 350,000 women died in complications of childbirth.1 Ninety-nine per cent of these deaths occurred in resource-poor countries where access to family planning, antenatal care, and emergency obstetric services are limited.2 It is worldwide known that caesarean can present several risks than a vaginal birth even if it is become nowadays one of obstetric intensive cares regarding its benefits for mother and baby. 3 The WHO suggests that the level of caesarean section should range between 5% and 15% and no region in the world is justified with having a caesarean rate greater than 10% to 15% and not be less than 5%.4-6 Thus, both the upper and the lower limits have been discussed critically by several researchers. [7][8][9] DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20175230 ABSTRACT Background: Caesarean section is the most common major surgery performed on women Worldwide. Even if caesarean can be useful for mother and foetus, it can provoke some medical and social complications like infection, expensive cost and maternal death. This study aimed at determining the factors associated with caesarean section in Bukavu, at the Provincial Hospital. Methods: Data were collected retrospectively by exploring the files of childbirth established systematically for each pregnant woman. 466 files were exploited including 233 caesarean s (case) and 233 vaginal delivery (control). The normal childbirth which followed a caesarean was served as control. This study was a case-control. Logistic regression was used to model factor associated with caesarean section. Results: During the study period, there were 2170 deliveries in which 491 of them by caesarean section (22.6%). The factors associated with the caesarean section at the Provincial Hospital in Bukavu town were foetal distress, bleeding in the third trimester of the pregnancy, previous caesarean section, referral status and the moment of delivery (day shift). Conclusion: This study recommends an adequate monitoring of the pregnancy and training of professionals in best practices; implementation and technical audit of caesarean with feedback can significantly reduce the rate of Caesarean section in this hospital. Also, allocation in equipment suitable for the treatment of pregnant women is necessary.

show abstract

“…However, this metric may not be an accurate predictor of the facility’s ability to perform a CS. Many healthcare facilities within Nigeria cannot offer a CS, and ambulance services are virtually non-existent [25]. In fact, one study demonstrated that only 1 in 21 health facilities in Nigeria is equipped to perform CS [26].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Caesarean sections in Enugu, southeast Nigeria: Analysis of data from the Healthy Beginning Initiative

et al. 2017

View full text Add to dashboard Cite

BackgroundIn order to meet the Sustainable Development Goal to decrease maternal mortality, increased access to obstetric interventions such as Caesarean sections (CS) is of critical importance. As a result of women’s limited access to routine and emergency obstetric services in Nigeria, the country is a major contributor to the global burden of maternal mortality. In this analysis, we aim to establish rates of CS and determine socioeconomic or medical risk factors associated with having a CS in Enugu, southeast Nigeria.MethodsData for this study originated from the Healthy Beginning Initiative study. Participant characteristics were obtained from 2300 women at baseline via a semi-structured questionnaire. Only women between the ages of 17–45 who had singleton deliveries were retained for this analysis. Post-delivery questionnaires were used to ascertain mode-of-delivery. Crude and adjusted logistic regressions with Caesarean as the main outcome are presented.ResultsIn this sample, 7.22% women had a CS. Compared to women who lived in an urban setting, those who lived in a rural setting had a significant reduction in the odds of having a CS (aOR: 0.58; 0.38–0.89). Significantly higher odds of having a CS were seen among those with high peripheral malaria parasitemia compared to those with low parasitemia (aOR: 1.54; 1.04–2.28).ConclusionThis study revealed that contrary to the increasing trend in use of CS in low-income countries, women in this region of Nigeria had limited access to this intervention. Increasing age and socioeconomic proxies for income and access to care (e.g., having a tertiary-level education, full-time employment, and urban residence) were shown to be key determinants of access to CS. Further research is needed to ascertain the obstetric conditions under which women in this region receive CS, and to further elucidate the role of socioeconomic factors in accessing CS.

show abstract

Caesarean section – an appraisal of some predictive factors in Lagos Nigeria

Cited by 38 publications

References 21 publications

Towards optimizing caesarean section: a five-year review of caesarean sections at a Southern Nigeria hospital

Towards optimizing caesarean section: a five-year review of caesarean sections at a Southern Nigeria hospital

Factors associated with caesarean section at Bukavu Provincial Hospital in Democratic Republic of Congo

Prevalence of Caesarean sections in Enugu, southeast Nigeria: Analysis of data from the Healthy Beginning Initiative

Contact Info

Product

Resources

About