Elective caesarean sections at the Jos University Teaching Hospital

Caesarean Section Rate in a Tertiary Hospital in Makurdi, North-Central Nigeria

“…Caesarean section is a surgical operation to deliver a baby or babies by means of an incision through the abdomen and uterus [2]. The World Health Organization (WHO) stated in 1985 that; "there is no justification for any region to have CS rates higher than 10-15%" [3].…”

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

“…This was higher than 10.3% in Enugu, 19 10.5% (Makurdi), 21 11.4% (Zaria), 13 15.8% (Jos), 22 but lower than 20.3% reported in Birnin-Kebbi. 23 These differences are possibly due to referral nature of our centre, high prevalence of pre-eclampsia/eclampsia and use of repeat caesarean section for patients with a previous caesarean section.…”

“…[12][13][14][15][16] Caesarean section is often done as an emergency procedure in women with cephalo-pelvic disproportion, obstructed labour, foetal distress, antepartum haemorrhage and previous caesarean section resulting in high perinatal and maternal morbidities. [16][17][18][19][20][21][22][23][24] (Table 2). Caesarean section rate is falling (Figure 1).…”

A one year study on evaluation of pattern of caesarean section and its outcome before and after introduction of Janani Suraksha Yojna and maternal ambulances services

“…This rise in caesarean section rate is comparable with B Unnikrishnan et al (23.27%), Shanti Set al (19.9%), Sobande A et al (21.1%), while Gulfareen H et al found 64.7% caesarean rate in their study done in Hyderabad, Sindh Pakistan in a tertiary care hospital. 12,13,17,18 Increase in caesarean section rates may be a direct effect of universal coverage of JSY services and round the clock availability of maternal ambulance services but other causes should also be taken care of and be analyzed as we did in present study and is discussed here in detail.…”

“…In most cases, the lifesaving CS remains the only choice. 17 Another possibility is the dearth of expertise at secondary health facilities in these regions. Therefore, experts that could manage complicated labour are only available at the tertiary health facilities.…”