Caesarean section and perinatal outcomes in a sub-urban tertiary hospital in North-West Nigeria

Ugwa, Emmanuel Ajuluchukwu; Ashimi, Adewale; Abubakar, MY

doi:10.4103/0300-1652.160360

Cited by 17 publications

(29 citation statements)

References 16 publications

(29 reference statements)

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“…[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%

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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

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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.

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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

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“…Cultural beliefs and negative attitudes towards CS are other possible explanations for a delay in care-seeking behaviour and low CS rate [17,18]. As a result, the population CS rate remains low at 2.7% [11] and between 11 and 49% in facilities [19][20][21][22], with positive associations between likelihood of CS and urban residence [23], wealth and higher education level [24,25]. Extremely low CS rates of 0.4% are found among the poorest women [24].…”

Section: Introductionmentioning

confidence: 99%

“…While the evidence of the effect of socio-economic status and place of residence on CS rates in Nigeria is well established, little is known about CS rates in relation to obstetric needs. A few facility-based studies have shown increased odds of having a CS for women with overweight, previous CS [21] and obstructed labour [22]. Only one population-based study has investigated the association between obstetric factors and CS in Nigeria using the 2013 Demographic and Health Survey (DHS) data, showing a positive association between CS and maternal age, large birth size, multiple pregnancy, primiparity, health insurance coverage, antenatal care (ANC) and maternal obesity [26].…”

Section: Introductionmentioning

confidence: 99%

Caesarean section rate in Nigeria between 2013 and 2018 by obstetric risk and socio‐economic status

Berglundh

Beňová

Olisaekee³

et al. 2021

Tropical Med Int Health

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objectives Caesarean section (CS) can be life-saving for both mother and child, but in Nigeria the CS rate remains low, at 2.7% of births. We aimed to estimate the rate of CS and early neonatal mortality in Nigeria according to obstetric risk and socio-economic background and to identify factors associated with CS.methods We used the 2018 Nigeria Demographic and Health Survey, encompassing 33 924 live births within the last 5 years, to estimate the CS rate and early neonatal mortality rate (ENMR) by obstetric risk group, informed by the Robson classification. The CS rate and ENMR were assessed within each Robson group and stratified by socio-economic background. Logistic regression analyses were used to explore determinants of CS.results Almost three-quarters (72.4%) of all births were to multiparous women, with a singleton baby of normal birthweight, thus a low-risk group similar to Robson 3, and with a CS rate of 1.0%. CS rates in the two high-risk groups (multiple pregnancy and preterm/low birthweight) were low, 7.1% (95% CI: 5.2-9.7) and 1.8 % (95% CI: 1.4-2.4), respectively. The ENMR was particularly high for multiple pregnancy (175 per 1000 live births; 95% CI: 131-230). Greater number of antenatal visits, unwanted pregnancy, multiple pregnancy, household wealth, maternal education, Christians/Others versus Muslims and referral during childbirth were positively associated with CS.conclusion Inequitable access to CS is not limited to socio-economic determinants, but also related to obstetric risk factors, calling for increased efforts to improve access to CS for high-risk pregnancies.

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“…It is being thought that severe military conflicts in Africa shorten the expected lifetime for more than 2 years. In general, WHO had calculated that 269 thousand people had died in 1999 due to the effect of wars and that loss of 8.44 million healthy years of life had occurred (2,3). Wars negatively affect the provision of health services.…”

Section: War and Women's Healthmentioning

confidence: 99%

Cesarean Section Rate in a Sample of Primigravida Women in the Public Maternity Hospital in Erbil City, Iraq

Mehedi¹,

Al-Diwan²,

Al-Hadithi³

2017

International Journal of Women’s Health and Reproduction Scienc

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IntroductionCesarean section is usually performed when a vaginal delivery would put the baby's or mother's life or health at risk. Cesarean section can save lives, but it is frequently performed without medical indications (1). It is often done as an emergency procedure in women with cephalopelvic disproportion, obstructed labor, fetal distress, antepartum hemorrhage and previous cesarean section resulting in high perinatal and maternal morbidities (2).Cesarean section rates have risen worldwide. A study that involved 150 countries reported a rate of 18.6% ranging from 6% in the least developed countries to 27.2% in the most developed countries. Cesarean section rates are highest in the Latin America and the Caribbean region (40.5%) and Northern America (32.3%), while they are lowest in Asia (19.2%) and Africa (7.3%) (3). In the Arab countries, cesarean section rates vary widely with Egypt having the highest cesarean section rate (26.2%) and Mauritania the lowest (5.3%) (4).Studies from industrial countries have shown that the indications for the cesarean section have changed over the last decades and increased knowledge about current indications could lead to the reduction of cesarean section rates through correct counseling and advice to pregnant women and health workers (5-8).The worldwide increase in cesarean section rate which might be associated with maternal factors and health care services provided the impetus for carrying out this study. It is important to ensure that a cesarean section is provided to women in real need. This study aimed to determine the rate of cesarean section in a sample of primigravida women and find out the association between the cesarean section rate and the socio-demographic characteristics of pregnant women, pregnancy risk factors, and the utilization of antenatal care services. Materials and MethodsThis cross-sectional study was conducted at Erbil Maternity Teaching Hospital in Kurdistan region of Iraq from 1st of July, 2015 to 30th of June, 2016. A sample of 400 primigravida women was selected for the study by convenient sampling technique. All the primigravida women who were present in Erbil Maternity Teaching Hospital in the days when the researcher was attending the hospital for data collection were invited to participate in the study. The study included the primigravida women AbstractObjectives: The worldwide rise in the cesarean section rates might be associated with maternal factors and health care services. This study aimed to measure the rate of cesarean section in a sample of primigravida women and find out the association of the cesarean section rate with the socio-demographic characteristics of pregnant women, pregnancy risk factors, and the utilization of antenatal care services. Materials and Methods: A cross-sectional study was carried out from the 1st of July, 2015 to 30th of June, 2016. The study sample included 400 primigravida women with singleton pregnancy at the labor room of Erbil Maternity Teaching Hospital. A specially designed questionnaire was used fo...

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Caesarean section and perinatal outcomes in a sub-urban tertiary hospital in North-West Nigeria

Cited by 17 publications

References 16 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

Caesarean section rate in Nigeria between 2013 and 2018 by obstetric risk and socio‐economic status

Cesarean Section Rate in a Sample of Primigravida Women in the Public Maternity Hospital in Erbil City, Iraq

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