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Feto-maternal outcomes of caesarean delivery in Federal Medical Centre, Asaba: a two year review
Jombo, Sunday; Chukwuma, Ossai; Onwusulu, Daniel; Ilikannu, Samuel; Fagbemi, Adeniyi.
  • Jombo, Sunday; fmc, asaba, OBGYN. Asaba. NG
  • Chukwuma, Ossai; fmc, asaba, OBGYN. Asaba. NG
  • Onwusulu, Daniel; Nnamdi Azikiwe University Teaching Hospital, OBGYN. Asaba. NG
  • Ilikannu, Samuel; fmc, asaba, OBGYN. Asaba. NG
  • Fagbemi, Adeniyi; fmc, asaba, OBGYN. Asaba. NG
African Health Sciences ; 22(1): 172-179, March 2022. Figures, Tables
Article in English | AIM | ID: biblio-1400542
ABSTRACT

Background:

The upward trend of caesarean section and its associated morbidity/mortality especially in low- and middle-income areas make regular appraisal of the procedure necessary.

Objective:

To evaluate caesarean section; its rate, indications, and maternal and fetal outcomes in Asaba.

Methods:

A retrospective study of all caesarean sections carried out at the obstetrics unit of the Federal Medical Centre, Asaba, between July 1, 2018, and June 31, 2020. Data was analyzed using SPSS version 20.

Results:

There were 2778 deliveries during the period, out of which 705 had caesarean sections, giving an overall caesarean section rate of 25.4%. There were 456 (64.7%) emergency caesarean sections. The commonest indication for caesarean section was repeat caesarean section 196 (27.8%), while cephalo-pelvic disproportion 87 (12.3%) was the commonest indication for emergency caesarean section. Majority of the babies had low APGAR score at 1min and 5mins, 126 (27.6%) and 50 (11.0%) from emergency than elective caesarean section 16 (6.4%) and 5 (2.0%) at 1min and 5mins respectively (x2=17.963, P<0.001). There were 31 (4.2%) perinatal deaths out of which majority 28 (6.1%) were from emergency caesarean sections (x2=9.412 P=0.002). The commonest post-operative complication was postpartum anemia (140 (19.9%) while caesarean section case fatality was 0.6%.

Conclusion:

This study showed a caesarean section rate of 25.4% with repeat caesarean section and Cephalopelvic disproportion being the most common indication for elective and emergency caesarean section respectively. Emergency caesarean section accounted for most of the cases and is associated with a higher risk of maternal and perinatal morbidity and mortality
Subject(s)

Full text: Available Index: AIM (Africa) Main subject: Schools, Nursery / Cesarean Section / Birth Rate / Fatal Outcome Type of study: Observational study / Risk factors Language: English Journal: African Health Sciences Year: 2022 Type: Article Institution/Affiliation country: Nnamdi Azikiwe University Teaching Hospital, OBGYN/NG / fmc, asaba, OBGYN/NG

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Full text: Available Index: AIM (Africa) Main subject: Schools, Nursery / Cesarean Section / Birth Rate / Fatal Outcome Type of study: Observational study / Risk factors Language: English Journal: African Health Sciences Year: 2022 Type: Article Institution/Affiliation country: Nnamdi Azikiwe University Teaching Hospital, OBGYN/NG / fmc, asaba, OBGYN/NG