scholarly journals Pattern of primary caesarean deliveries in a Nigerian tertiary hospital

2021 ◽  
Author(s):  
Abimbola T. Ottun ◽  
Chinonye H. Okoye ◽  
Adeniyi A. Adewunmi ◽  
Faosat O. Jinadu ◽  
Ayokunle M. Olumodeji
Keyword(s):  
Caesarean Section ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
State University ◽  
Foetal Distress ◽  
Hypertensive Disease ◽  
Cross Sectional ◽  
Cephalopelvic Disproportion ◽  
Primiparous Women

Background: Primary caesarean section (CS) has become a major driver of the steadily rising total caesarean rate. This study determined the primary CS rate, pattern and associated factors.Methods: It was a retrospective, hospital-based cross-sectional study of 645 pregnant women who had primary caesarean section over a 3-year period in Lagos state university teaching hospital, Lagos, Nigeria. Data obtained were expressed in frequency and percentages.Results: Primary CS accounted for more than 50% of all the CS done during the study period with a primary CS rate of 16.7% and total CS rate was 30.6%. Primary CS was commonest among women of age group 30-39years (50.1%) and women with no prior parous experience (58.6%). The commonest indication for primary CS was poor progress in labour due to cephalopelvic disproportion, which occurred in 170 women (26.4%), followed by suspected foetal distress in 94 women (14.6%) and hypertensive disease in pregnancy in 91 women (14.1%). Post-operative wound infection and/or dehiscence was the most prevalent post-operative complication occurring in 12.1% of women who had primary CS.Conclusions: Primary CS rate is increasing and relatively more common among primiparous women. Cephalopelvic disproportion, suspected foetal distress and hypertensive disorders of pregnancy are the leading indications for primary CS. 

scholarly journals Emergency caesarean section and its sequelae in a tertiary hospital in Niger Delta, Nigeria

2021 ◽  
Vol 10 (12) ◽  
pp. 4372
Author(s):  
Rose Sitonma Iwo-Amah ◽  
Felix Chikaike Clement Wekere ◽  
Simeon Chijioke Amadi ◽  
Joseph Ngozi Kwosah
Keyword(s):  
Caesarean Section ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Emergency Caesarean Section ◽  
University Teaching ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Early Presentation ◽  
Emergency Caesarean

Background: Caesarean section (CS) is one of the most common surgical procedure in obstetrics. It involves a surgical incision made through the abdominal and uterine walls to deliver the foetus and placenta after the period of foetal viability.Methods: This was a cross-sectional study aimed at reviewing emergency caesarean section in Rivers State University Teaching Hospital (RSUTH) over a 5-year period, to determine the prevalence and sequelae. Data were analysed using IBM Statistical Product and Service Solution (SPSS) version 25.0 (Armonk, NY).Results: During the review period, there were 13516 deliveries and 3699 cases of emergency CS, giving the prevalence of emergency CS as 27.4% or 274 per 1000 deliveries. Majority (90%) of the parturient were unbooked. The most common complication in women that had emergency caesarean section was fever (56.4%), followed by endometritis (14.7%), absconding from hospital (8.8%), urinary tract infection (7.1%) and wound infection (6.1%). There was a statistically significant association between types of CS and their sequelae, χ2=1153.9, p<0.001, (95% CI: 0.000, 0.000). Women that had emergency CS were 101 times more likely to have a complication compared to those that had planned CS.Conclusions: The rate of emergency caesarean section is high in RSUTH and with more complications compared to planned caesarean section. Booking for antenatal care, early presentation for delivery, birth preparedness and complication readiness will enhance improved maternal and perinatal outcome. 

scholarly journals Sonographic estimation of foetal weight versus actual birth weight at term

2021 ◽  
Vol 10 (5) ◽  
pp. 1782
Author(s):  
Akinshola A. Ero-Phillips ◽  
Faosat O. Jinadu ◽  
Abimbola T. Ottun ◽  
Ayokunle M. Olumodeji
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Predictive Value ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Percentage Error ◽  
State University ◽  
Singleton Pregnancy ◽  
Cross Sectional ◽  
Delivery Accuracy

Background: Estimated foetal weight is very critical to decision making in the management of pregnant women. It is therefore important to evaluate the accuracy of ultrasound estimated foetal weight (USEFW) at term in our environment. We compared ultrasound estimated foetal weight at term with the actual foetal birth weight at delivery.Methods: This was a prospective, comparative cross-sectional study at the Lagos State University Teaching Hospital over a 6-month period. Four hundred and five pregnant women with normal singleton pregnancy, who had sonographic estimation of foetal weight at term, using the Hadlock IV formula, were followed up and had their actual birth weight (ABW) determined at delivery. Accuracy was determined by proportion of estimates within 10% of actual birth weight and mean absolute percentage error (MAPE). The p<0.05 was considered significant at 95% confidence interval.Results: The prevalence of macrosomia was 10.3%. At 10% margin of error, ultrasound accurately estimated the weights of 73.3% of babies. The mean USEFW was 3559.89±316.9g and mean ABW was 3477.42±422.9g with a mean difference of 82.44g (p<0.001) and MAPE of 7.11. There was positive correlation (r=0.669) between the EFW and ABW (p<0.001). The USEFW had a sensitivity of 66.7%, specificity of 91.5%, positive predictive value of 47.5% and negative predictive value of 96.0% in predicting macrosomia.Conclusions: Ultrasound estimation of foetal weight at term is reliably accurate in predicting actual birth weight in south-western Nigeria. 

scholarly journals Prevalence of post-operative anaemia in surgical patients at the Rivers State University Teaching Hospital

2021 ◽  
Vol 10 (1) ◽  
pp. 218-223
Author(s):  
Kalio DGB ◽  
Eli S ◽  
Okagua KE ◽  
Allagoa DO
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
World Health ◽  
Surgical Patients ◽  
State University ◽  
Cross Sectional ◽  
Health Organization ◽  
Rivers State ◽  
Work Up

Background: Post-operative anaemia is often a reflection of pre-operative pre-operative work-up and pre-operative anaemia. In addition. Post-operative anaemia is also determined by co-morbidities of patients prior to surgery. The prevalence of post-operative anaemia varies based on surgical specialties and the experience of the surgeon; prevalence rates as high as 85% have been recorded in orthopaedic surgeries. Aim: To determine the prevalence of post-operative anaemic in surgical patients at the Rivers State University Teaching Hospital (RSUTH). Method: This was a six months cross sectional study of the post-operative anaemia of patients who had operation at the Surgery and Obstetrics/Gyaecology departments of The Rivers State University Teaching Hospital. The permission for the study was granted by the head of department of obstetrics and gynaecology in conjunction with the head of .the hospital management. The yard stick for anaemia was packed cell volume less than 33% in line with the World Health Organization (WHO). A structured proforma was used to obtain information from patient’s case notes and analyzed using SPSS version 25. Result: Three hundred and eigthy subjects were recruited for the study. Males subjects were 150 (39.5%) while females were 230 (60.5%) respectively. The mean age was 31 years. One hundred and ninety nine (52.4%) were obstetrics and gynaecological surgeries while 181 (47.6 %) were non-gynaecological surgeries. The commonest indication for surgery was caesarean section representing 130 (34.2%) of the subjects. Two hundred and sixty six of the subjects (70%) had PCV less than 33%. One hundred and fifty two (40%) women had PCV less than 33% while 114 (30%) of the men had PCV less than 33%. Conclusion: The study revealed that prevalence of post-operative anaemia amongst surgical patients at RSUTH was 70 %. The post-operative anaemia amongst women was worrisome. The need to optimize patients prior to surgery cannot be over-emphasized to prevent morbidities and mortalities post-operative.

Caesarean section at usmanu danfodiyo university teaching hospital: A cross sectional study

2017 ◽  
Vol 26 (1) ◽  
pp. 5
Author(s):  
AA Ladan ◽  
EI Nwobodo ◽  
KA Tunau ◽  
A Panti ◽  
AT Burodo ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Sectional Study ◽  
Cross Sectional

Re-Laparotomy after Caesarean Section at a Tertiary Hospital in Egypt: Cross Sectional Study

2017 ◽  
Vol 07 (03) ◽  
Author(s):  
Reham Elkhateeb ◽  
Ahmad Ezz El Din Mahran ◽  
Ahmad Samir Sanad ◽  
Haitham Ahmad Bahaa ◽  
Mahmoud Hosni Ibrahim
Keyword(s):  
Caesarean Section ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Prevalence and factors associated with severe anaemia post-caesarean section at a tertiary Hospital in Southwestern Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sylvie Atosa Sivahikyako ◽  
Asiphas Owaraganise ◽  
Leevan Tibaijuka ◽  
David Collins Agaba ◽  
Musa Kayondo ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Severe Anaemia ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Factors Associated ◽  
Hb Concentration ◽  
Southwestern Uganda ◽  
Moderate Anaemia

Abstract Background Severe anaemia after caesarean section adversely affects the woman and the new-born. While prenatal anaemia is extensively studied, the literature on post-caesarean section anaemia is limited and characteristics of women at the highest risk of developing severe anaemia after caesarean section are unknown. This study aimed to determine the prevalence and factors associated with severe anaemia on day three post caesarean section. Methods On the third day after caesarean section, women were consecutively enrolled in a cross-sectional study at Mbarara Regional Referral Hospital (MRRH). Women who got transfused peripartum were excluded. For every woman, we measured haemoglobin (Hb) concentration and collected data on sociodemographic, obstetric, and medical characteristics. The primary outcome was severe anaemia after caesarean section, defined as Hb < 7 g/dl. We used logistic regression analysis to determine factors associated with severe anaemia after caesarean section. P-value < 0.05 was considered statistically significant. Results From December 2019 to March 2020, 427 of 431 screened women were enrolled in the study. Their mean age was 26.05 (SD ± 5.84) years. Three hundred thirteen (73.3%) had attended at least four antenatal care visits. The prevalence of severe anaemia post-caesarean section was 6.79%. Foetus with macrosomia (aOR 7.9 95%CI: 2.18–28.85, p <  0.01) and having mild or moderate anaemia pre-caesarean section (aOR:9.6, 95%CI: 3.91–23.77, p <  0.01) were the factors associated with severe anaemia after caesarean section. Conclusion Severe anaemia in women post-caesarean section is relatively uncommon at our institution. It is associated with preoperative anaemia and macrosomic birth. Women with a low preoperative Hb concentration and those whose foetus have macrosomia could be targeted for haemoglobin optimisation before and during caesarean section.

scholarly journals Thyroid Disorders and Prolactin Hormone and Their Association with Obesity in Infertile Women in a Tertiary Hospital of Nepal

2020 ◽  
Vol 42 (3) ◽  
pp. 7-11
Author(s):  
Suvana Maskey ◽  
Hima Rijal
Keyword(s):  
Thyroid Function Test ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Thyroid Stimulating Hormone ◽  
University Teaching ◽  
Serum Prolactin ◽  
Thyroid Disorders ◽  
Thyroid Disorder ◽  
Cross Sectional ◽  
Infertile Women

Introduction Thyroid dysfunction has profound effects on menstrual function and female fertility. Hypothyroidism is often associated with increased prolactin level which again worsens the problem. This study was done to evaluate the prevalence of thyroid disorders in infertile women attending infertility outpatient department (OPD) in Tribhuvan University Teaching Hospital (TUTH) and to determine the association of hypothyroidism and hyperprolactenemia with obesity which is not well studied in our population. MethodsA hospital-based cross-sectional study was conducted in infertility OPD of TUTH reviewing women’s records who underwent infertility workup and relevant history, clinical finding and results of investigations including thyroid function test (TFT) and serum prolactin (PRL) level were documented. Descriptive and inferential statistical analyses were used to identify the prevalence and associations of predictors and outcome variables. ResultsOut of 213 participants, the majority of the participants were obese (90; 42.3%) with mean (±SD) body mass index (BMI) being 24.8 ± 4.5 kg/m2. The prevalence of thyroid disorder was 18.4% including hypothyroidism 13.6% and hyperthyroidism 4.8%. There was no significant association of BMI and hyperprolactinemia with thyroid disorder as well as of BMI with hyperprolactinemia however the thyroid stimulating hormone (TSH) had significant positive correlation with prolactin (r=0.23, p<0.001). ConclusionThyroid disorders and hyperprolactinemia are commonly observed in infertile women, so they should be routinely screened during initial evaluation of infertility. As majority of the study population were obese, despite no significant association of BMI with thyroid disorder and hyperprolactinemia, the effect of weight gain on infertility cannot be overlooked.

scholarly journals Female Urinary Incontinence: Prevalence and Impact on the Quality of Life of Gynaecological Clinic Attendees in Lagos, Nigeria

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
FM Akinlusi ◽  
TA Ottun ◽  
YA Oshodi
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Urinary Incontinence ◽  
Cross Sectional Study ◽  
University Teaching ◽  
State University ◽  
Health Seeking ◽  
Cross Sectional ◽  
History Of

Aims: To determine the prevalence of urinary incontinence (UI); risk factors; impact on quality of life and symptom specific health seeking behaviour. Methods: A cross-sectional study of 395 women attending gynaecological clinic of the Lagos State University Teaching Hospital. UI was defined as the complaint of any involuntary leakage of urine in the previous six months. Socio-demographic characteristics, obstetrics, gynaecological, medical and surgical risk factors, impact on daily activities and treatment history were assessed. Univariate, bivariate and multivariable analyses were performed. Results: Participants age ranged from 25-67 years with a mean of 38.81 ± 10.1. Prevalence of UI was 32.9%.  Urge UI occurred in 18.0% of all respondents while the prevalence of stress and mixed incontinence was 7.3% and 7.6% respectively. Independent risk factors for urinary incontinence were age (OR= 0.49, 95%;CI = 0.26-0.92), higher body mass index (OR = 1.92; 95% CI =1.53-3.00) and history of constipation(OR = 2.11; 95% CI =1.30 - 3.43). About47%of those with UI admitted to having negative feelings such as despair, anxiety and depression while 45% had a cumulative moderate to severe affectation of their quality of life in all domains. Despite these, only 27.7% sought help. Conclusions: Despite thesubstantial impact of UI on the quality of life, majority do not seek help. Addressing modifiable risks factors, improving treatment seeking behaviour by correction of misconceptions and elimination of stigma will go a long way in reducing the prevalence of UI.

scholarly journals Decision-Delivery Interval for Emergency Caesarean Section at the Rivers State University Teaching Hospital

2020 ◽  
pp. 1-2
Author(s):  
S. Eli ◽  
D. G. B. Kalio ◽  
A. Dan- Jumbo ◽  
J. Ikimalo
Keyword(s):  
Caesarean Section ◽  
Teaching Hospital ◽  
Developed Countries ◽  
Fetal Outcome ◽  
Emergency Caesarean Section ◽  
University Teaching ◽  
State University ◽  
Cephalopelvic Disproportion ◽  
Emergency Caesarean ◽  
Rivers State

Decision-Delivery interval when carrying out emergency caesarean section (EmCS) cannot be over-emphasized especially with regards to maternal and fetal outcome. There are variety of factors that may contribute to these intervals such as logistics, personal delay, delay in obtaining of informed consent, lack of blood, and availability of theatre space. Aim: To determine the decision-delivery interval and causes of delay in EmCS at the Rivers State University Teaching Hospital (RSUTH). Methods: It was prospective study conducted at the RSUTH between July 1, 2018 to January 31, 2019. Information was obtained using a self structured questionnaire and analyzed using version SPSS 25. Results: There were 481 patients admitted into labour ward for the period under review of which 71(14.8 %) had EmCS. The mean age was 31 years. The commonest indication for EmCS was Cephalopelvic disproportion (CPD) represented by 23 (32.4%) of the subjects. The average time for decision - delivery interval was 1 to 2 hours represented by 29 (40.8%). The shortest decision - delivery interval was less than 30 minutes 1(1.3%).The decision – delivery interval time greater than 5 hours were 9 (12.7%). The 3 commonest reasons for delay with respect to average decision – delivery intervals were personal delay 21 (20.8%), logistics 19 (18.8%) and lack of blood 13 (12.9%). Conclusion: The study revealed that the average decision - delivery interval was 1 – 2 hours represented by 40.5% of the subjects. This was relatively long when compared to developed countries of the world. The commonest reason for delay in carrying out EmCS was personal delay (20.8%). The commonest indication for EmCS was CPD (32.4%). Addressing the reasons for the decision – delivery interval will help improve our practice and reduce adverse effects to mother and baby.

scholarly journals Attitude and acceptability of assisted reproductive technology among women in a tertiary hospital in Sokoto, northern Nigeria

2021 ◽  
Vol 10 (5) ◽  
pp. 1770
Author(s):  
Amina G. Umar ◽  
Aisha N. Adamu
Keyword(s):  
Assisted Reproductive Technology ◽  
Tertiary Education ◽  
Educational Status ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Reproductive Technology ◽  
University Teaching ◽  
P Value ◽  
Cross Sectional ◽  
Living Children

Background: Infertility couple affects the couple's life, work, health, personality, identity and quality of life. The aim of the study is to determine the attitude and acceptability of assisted reproductive technology among women at the Usmanu Danfodiyo University Teaching Hospital, Sokoto.Methods: This is a cross-sectional study that involved three 350 women attending infertility clinic. They were recruited via convenient sampling method using semi-structured questionnaire. The data obtained was managed using the statistical package for social sciences version 20. A p value of <0.05 was considered statistically significant and the result obtained was presented in charts and tables.Results: Among the 350 women recruited, their ages ranged between 14-58 years with a modal age of 25-35 yeas (58.0%) and a mean of 28.59±6.7. They are mostly (78.6%), of the Hausa/Fulani ethnic group. Almost all (98.9%) of them were married and unto 40.5% of them were in polygamous marriage. Majority, 36.9% had tertiary education, and about same proportion, about half, 51.7%% were gainfully employed. About 60.3% of them were nulliparae with a mean duration of infertility of 5.07±4.8 years. Approximately half, 53.1% had secondary infertility and only about half, 51.4% will accept ART if offered. Unfortunately, among those who declined, majority (40.9%) had no reason for doing so. There was statistically significant association between educational status and acceptance of assisted reproductive technology (ART) at p value 0.02.Conclusions: The acceptance of ART in our environment is influenced by the educational status and number of living children.

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