Caesarean Section in Kano, North-West Nigeria

Omole-Ohonsi, A; Ashimi, Adewale

doi:10.4314/nhp.v3i1-2.45614

Cited by 2 publications

(7 citation statements)

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“…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 , 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 – …”

Section: Resultsmentioning

confidence: 99%

“…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 ).…”

Section: Resultsmentioning

confidence: 99%

“…The raw proportions (W = 0.94 p -value < 0.01) deviated less further from a normal distribution after logit transformation (W = 0.96, p -value = 0.03). The prevalence of elective and emergency CS in facilities was reported from 33 studies [ 21 , 22 , 24 – 30 , 32 – 42 , 44 , 45 , 48 , 50 , 52 , 55 – 60 , 62 , 65 ].…”

Section: Resultsmentioning

confidence: 99%

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

Osayande,

Ogunyemi,

Gwacham-Anisiobi

et al. 2023

Reprod Health

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Background Over 80,000 pregnant women died in Nigeria due to pregnancy-related complications in 2020. Evidence shows that if appropriately conducted, caesarean section (CS) reduces the odds of maternal death. In 2015, the World Health Organization (WHO), in a statement, proposed an optimal national prevalence of CS and recommended the use of Robson classification for classifying and determining intra-facility CS rates. We conducted this systematic review and meta-analysis to synthesise evidence on prevalence, indications, and complications of intra-facility CS in Nigeria. Methods Four databases (African Journals Online, Directory of Open Access Journals, EBSCOhost, and PubMed) were systematically searched for relevant articles published from 2000 to 2022. Articles were screened following the PRISMA guidelines, and those meeting the study’s inclusion criteria were retained for review. Quality assessment of included studies was conducted using a modified Joanna Briggs Institute’s Critical Appraisal Checklist. Narrative synthesis of CS prevalence, indications, and complications as well as a meta-analysis of CS prevalence using R were conducted. Results We retrieved 45 articles, with most (33 (64.4%)) being assessed as high quality. The overall prevalence of CS in facilities across Nigeria was 17.6%. We identified a higher prevalence of emergency CS (75.9%) compared to elective CS (24.3%). We also identified a significantly higher CS prevalence in facilities in the south (25.5%) compared to the north (10.6%). Furthermore, we observed a 10.7% increase in intra-facility CS prevalence following the implementation of the WHO statement. However, none of the studies adopted the Robson classification of CS to determine intra-facility CS rates. In addition, neither hierarchy of care (tertiary or secondary) nor type of facility (public or private) significantly influenced intra-facility CS prevalence. The commonest indications for a CS were previous scar/CS (3.5–33.5%) and pregnancy-related hypertensive disorders (5.5–30.0%), while anaemia (6.4–57.1%) was the most reported complication. Conclusion There are disparities in the prevalence, indications, and complications of CS in facilities across the geopolitical zones of Nigeria, suggestive of concurrent overuse and underuse. There is a need for comprehensive solutions to optimise CS provision tailor-made for zones in Nigeria. Furthermore, future research needs to adopt current guidelines to improve comparison of CS rates.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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

Osayande,

Ogunyemi,

Gwacham-Anisiobi

et al. 2023

Reprod Health

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“…Antepartum myomectomy is a safe procedure in selected patients and studies in West Africa had shown safety particularly for sub serous pedunculated fibroids. 6,7 Although previous Studies had shown antepartum myomectomy contraindicated, a study by shafiee 8 had shown removal of intramural fibroid in pregnancy is safe but not without risk if selected criterion was followed. Studies have shown increased risk of hemorrhage necessitating blood transfusion and hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

“…6 Moreover, it avoids interval myomectomy, repeat surgery and better uterine contractions in the postpartum. Studies in Nigeria [5][6][7] have reported similar incidences of fibroid and their complications. Despite all this advantages one has to weigh the benefits against the increased risk of hemorrhage reported to be as high as of 10%.…”

Section: Introductionmentioning

confidence: 99%

Huge symptomatic pedunculated uterine fibroid in pregnancy: Antepartum myomectomy and term delivery at a specialist hospital in Kano, Nigeria

Haruna

Tukur²,

Takai³

et al. 2021

Ann Afr Med Res

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Myomas are common in pregnancy and can go unnoticed. One in ten patients, however, develops complications that would necessitate their removal. Myomectomy performed at caesarian section had come to the lime light over the last decade and recent literature have shown its safety. There is still paucity of literature on myomectomy performed during pregnancy. Our case was a 25 years old primigravida at 21 weeks with features of acute abdomen secondary to uterine fibroid which was diagnosed during pregnancy. She subsequently had antepartum myomectomy and a live birth at term via caesarean section.

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Caesarean Section in Kano, North-West Nigeria

Cited by 2 publications

References 0 publications

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

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

Huge symptomatic pedunculated uterine fibroid in pregnancy: Antepartum myomectomy and term delivery at a specialist hospital in Kano, Nigeria

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