scholarly journals Caesarean Section in a Tertiary Hospital in South-South, Nigeria: A 3-year Review

2021 ◽  
Vol 3 (2) ◽  
pp. 122-127
Author(s):  
Dennis O. Allagoa ◽  
Peter C. Oriji ◽  
Ebiye S. Tekenah ◽  
Lukman Obagah ◽  
Onyekachi S. Ohaeri ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Caesarean Section Rate ◽  
Elective Caesarean Section ◽  
Tertiary Hospital ◽  
Medical Centre ◽  
High Rate ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Life Saving ◽  
Foetal Membranes

Background: Caesarean section is the delivery of the foetus, placenta, and foetal membranes through an incision on the abdominal and uterine walls after the age of foetal viability. It is a life-saving surgical procedure, which has helped reduce maternal and perinatal morbidity and mortality over the years. Objective: To determine the rates, indications, outcomes, and complications of Caesarean section at the Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria. Materials and Methods: This research was carried out at the Department of Obstetrics and Gynaecology, Federal Medical Centre (FMC), Yenagoa, Bayelsa State, South-South, Nigeria between 1st January 2018 and 31st December 2020. It was a retrospective study. Data was retrieved from the labour ward records, delivery register, theatre records, and patients’ folders during the period under review, and entered into a pre-designed proforma. Data were analysed with IBM SPSS version 23.0. Results were presented in frequencies and percentages for categorical variables and mean and standard deviation for continuous variables. Results: About 959 women had Caesarean section (CS) out of 2,263 deliveries, giving a Caesarean section rate of 42.4%. The commonest indication for emergency Caesarean section was cephalopelvic disproportion (36.0%), while that for elective Caesarean section was repeat Caesarean section (19.6%). Conclusion: The Caesarean section rate in our Centre is extremely high, almost three times the acceptable upper limit set by the WHO. Encouraging vaginal birth after Caesarean section as a means to reduce this high rate is recommended as it was noted that previous Caesarean section was a leading indication for surgeries.

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

2016 ◽  
Vol 10 (2) ◽  
pp. 29-32
Author(s):  
EA Ugwa ◽  
AO Ashimi ◽  
MY Abubakar
Keyword(s):  
Caesarean Section ◽  
Perinatal Mortality ◽  
Perinatal Outcome ◽  
Neonatal Intensive Care ◽  
Caesarean Section Rate ◽  
Tertiary Hospital ◽  
Medical Centre ◽  
Retrieval Rate ◽  
Case Files ◽  
Ethical Clearance

Aims: This study was undertaken to review the caesarean section rate and perinatal mortality in Federal Medical Centre, Birnin Kudu from 1 January 2010 to 31 December 2012.Methods: This was a retrospective study involving review of 580 case files. Ethical clearance was obtained. The records of labour ward, neonatal intensive care unit and operating theatre were use. Information extracted includes age, parity, booking status, total deliveries, indications for caesarean section and perinatal outcome from 1st January 2010 to 31st December 2012 at Federal Medical Centre, Birnin Kudu. The data obtained was analyzed using SPSS version 16.0 statistical software (Chicago). Absolute numbers and simple percentages were used to describe categorical variables.Results: A total of 590 caesarean sections were done which is rate of 17.69%. Of the 590 caesarean deliveries, 580 case notes were retrieved giving a retrieval rate of 98.3%. A total of 96 out of 580 babies died within the first one week of caesarean delivery, giving a perinatal mortality rate of 17.4 per 1000. The average age of the women was 25.9±6.2 years. Majority of them were uneducated and unemployed. Obstructed labour was the most common indication for emergency caesarean section accounting for 31.7% of caesarean sections followed by pre-eclampsia/eclampsia.Conclusions: Caesarean section rate in the present study is comparatively high and perinatal mortality is low but it is unclear if there is a correlation between caesarean section rate and perinatal mortality. This needs further studies.

scholarly journals Maternal outcomes following second stage caesarean section in a tertiary hospital in Malaysia: A 6-year retrospective review

2021 ◽  
Author(s):  
Nurul Nafizah Mohd Rashid ◽  
Nik Mohamed Zaki Nik Mahmood ◽  
Mohd Pazudin Ismail ◽  
Adibah Ibrahim ◽  
W Fadhlina W Adnan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Post Partum ◽  
Neonatal Morbidity ◽  
Tertiary Hospital ◽  
Outcome Data ◽  
High Rate ◽  
Maternal Outcomes ◽  
Total Blood ◽  
Second Stage

Introduction: The trend for second stage caesarean section (SSCS) has been rising, and it carries a high rate of maternal and neonatal morbidity. Aim: To determine the prevalence of caesarean section (CS) performed during the second stage of labour and identify maternal outcomes and associated risk factors in these women. Material and methods: This retrospective study was performed in the Hospital University Sains Malaysia (HUSM). Medical records of 207 women with singleton cephalic pregnancies at term who underwent a SSCS between January 1, 2010 and December 31, 2015 were reviewed, and demographic and outcome data were collected. Results and discussion: During the study period, 8,197 (19.3%) out of 42,546 babies were delivered by CS, including 257 (4.1%) SSCSs. Nearly half (49.3%) the women were nulliparous, 182 (87.9%) experienced spontaneous labour and 123 (59.4%) received oxytocin augmentation. Furthermore, 26 (12.6%) of women had post-partum haemorrhage (≥1000 mL), of whom 22 (10.6%) required blood transfusion. Only 1 (0.5%) woman was admitted to the intensive care unit postoperatively, but 163 (78.7%) had an overall hospital stay length of 3 days. Furthermore, 38 (18.4%) and 33 (15.9%) of women experienced extended uterine tear and uterine atony, respectively. Parity (P < 0.001), attempted instrumentation (P < 0.001) and baby’s weight (P < 0.004) were statistically significantly associated with total blood loss. Parity (P < 0.012) and attempted instrumentation (P < 0.001) were risk factors for extended uterine tear. Conclusions: The overall outcomes from SSCS were better compared with studies performed in other centres. Current practices must be maintained or improved to provide the best patient caree.

scholarly journals Patients’ Lived Experiences of the Care Provided Before and After Caesarean Sections in the City of Tshwane, Gauteng, South Africa

2021 ◽  
Vol 23 (2) ◽  
Author(s):  
Tendani Ramukumba ◽  
Tshidi M. E. Masala-Chokwe ◽  
Takalani Mudau
Keyword(s):  
South Africa ◽  
Caesarean Section ◽  
Lived Experiences ◽  
Caesarean Section Rate ◽  
Elective Caesarean Section ◽  
Multidisciplinary Teams ◽  
District Hospitals ◽  
Before And After ◽  
The City ◽  
Nurses And Midwives

A caesarean section is an incision of the abdomen and uterine walls to deliver the foetus. An emergency caesarean section may be performed if complications during pregnancy or labour arise. Various indications such as abnormal presentation, a previous caesarean section, and other related conditions may need an elective caesarean section. In South Africa, the national average caesarean section rate between 2015 and 2016 was 26.2 per cent, whereas the rate in district hospitals was 24.1 per cent. At a community hospital in the City of Tshwane, the caesarean section rate of 32 per cent in 2015 was recorded as high. The aim of this research was to explore and to describe patients’ lived experiences of the care provided before and after a caesarean section in the City of Tshwane, Gauteng, South Africa. To achieve the aim of the study, a qualitative, exploratory, descriptive study was conducted. The sampling method used was purposive, and the sample size was determined by data saturation. An interview schedule was used to collect the data. The study concluded that some women were satisfied with the care provided, whereas the majority were dissatisfied. The need for strategies to improve such care provided by nurses and midwives was highlighted. Multidisciplinary teams have to acknowledge gaps and develop effective strategies to motivate nurses and midwives in the workplace to provide quality care. Research should be conducted to design an effective nursing framework for caesarean section care.

scholarly journals Multiple gestation and perinatal outcome in the Federal Medical Centre, Yenagoa, South-South, Nigeria: A 5-year review

2021 ◽  
Vol 3 (1) ◽  
pp. 001-011
Author(s):  
Peter Chibuzor Oriji ◽  
Dennis Oju Allagoa ◽  
Datonye Christopher Briggs ◽  
Judith Isioma Adhuze ◽  
Tornubari Romeo Mbooh ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Medical Centre ◽  
Morbidity And Mortality ◽  
High Rate ◽  
Gravid Uterus ◽  
Categorical Variables ◽  
Multiple Gestation ◽  
Perinatal Morbidity ◽  
Multiple Gestations ◽  
Risk Pregnancy

Background: Multiple gestation occurs when the gravid uterus harbours more than one foetus. It is a high-risk pregnancy, because of the associated adverse pregnancy outcomes culminating in some cases, in a high rate of maternal and perinatal morbidity and mortality. Objective: To determine the incidence of multiple gestation, and maternal and perinatal outcomes associated with it at the Federal Medical Centre, Yenagoa, South-South, Nigeria, over a five-year period. Materials and Methods: This retrospective study was carried out between 1st January, 2016 and 31st December, 2020. Data were retrieved and entered into a pre-designed proforma, and analysed using IBM SPSS version 25.0. Results were presented in frequencies and percentages for categorical variables, and mean and standard deviation for continuous variables. Results: One hundred and sixty-three women had multiple gestation in the period under review, out of a total of 4,571 pregnancies, which represented a case incidence rate of 35.6 multiple gestations per 1,000 deliveries in the Centre. Incidence rates for twins and triplets were 32.5 and 3.5 per 1,000 deliveries, respectively. About 51.5% were unbooked for antenatal care in the index pregnancy. The most common (47.2%) complication was preterm delivery. There were 342 neonates from 163 multiple gestations. There was death of 20 (5.8%) babies. Conclusion: The significant maternal and perinatal morbidity and mortality associated with multiple gestation can be reduced by early diagnosis, specialized antenatal care, skilled intrapartum, postpartum and neonatal care in centres with a full complement of skilled obstetricians, anaesthetists and neonatologists.

scholarly journals 11-Year Trends in Pregnancy-Related Health Indicators in Maine, 2000–2010

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
David E. Harris ◽  
AbouEl-Makarim Aboueissa ◽  
Nancy Baugh ◽  
Cheryl Sarton ◽  
Erika Lichter
Keyword(s):  
Weight Gain ◽  
Linear Trend ◽  
Caesarean Section Rate ◽  
Health Indicators ◽  
Healthy People ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Pregnancy Weight Gain ◽  
Healthy People 2020 ◽  
Pregnancy Weight

The objective of this study is to understand health and demographic trends among mothers and infants in Maine relative to the goals ofHealthy People 2020.Pregnancy risk assessment monitoring system (PRAMS) data from Maine for 2000–2010 were used to determine yearly values of pregnancy-related variables. Means (for continuous variables) and percentages (for categorical variables) were calculated using the survey procedures in SAS. Linear trend analysis was applied with study year as the independent variable. The slope and significance of the trend were then calculated. Over the study period, new mothers in Maine became better educated but the fraction of households with incomes <$20,000/year remained stagnant. Maternal prepregnancy BMI increased. Average pregnancy weight gain decreased but the number of women whose pregnancy weight gain was within the recommended range was unchanged. The rates of smoking and alcohol consumption (before and during pregnancy) increased. The Caesarean section rate rose and the fraction of infants born premature (<37 wks gestation) or underweight (<2500 gms) remained unchanged. The fraction of infants who were breast-fed increased. These results suggest that, despite some positive trends, Maine faces significant challenges in meetingHealthy People 2020goals.

scholarly journals Rhesus Negative Pregnancy: Prevalence and Foetomaternal Outcomes in a Tertiary Hospital, South-South Nigeria

2021 ◽  
pp. 123-131
Keyword(s):  
Blood Group ◽  
Tertiary Hospital ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Rhesus Factor ◽  
Special Care Baby Unit ◽  
Rhesus Incompatibility ◽  
Rhesus Blood Group ◽  
D Antigen ◽  
In Pregnancy

Rhesus incompatibility can pose a problem in pregnancy and cause obstetric failure in a handful of women. The Rhesus factor is a red blood cell surface antigen; and there are many antigen subtypes that make up the Rhesus blood group systems, of which the most commonly involved and most immunogenically associated with Rhesus isoimmunisation is the D antigen. The objective of this study is to determine the prevalence of Rhesus negativity and the foetomaternal outcomes at the Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria. This was a 5-year retrospective study conducted between 1st January, 2016 and 31st December, 2020 at our Obstetric Unit. Data were retrieved, entered into a pre-designed preformed and analyzed using SPSS version 25.0. Results were presented as mean and standard deviation for continuous variables and frequencies or percentages for categorical variables. Of the 4,571 pregnant women, 104 were Rhesus negative, giving a rate of 2.27%. The most common blood group among the women (53.8%) and their partners (84.6%) was the O blood group. Only 2 (1.9%) women were sensitised. Out of the 104 Rhesus negative women, 81 were unsensitised (77.9%) and received anti-D immunoglobulin. Majority of the babies had a good outcome, though 19 (18.2%) of them were admitted into the special care baby unit for various conditions. The incidence of Rhesus negative pregnancy in our study was 2.27%, and 1.9% of the women were sensitised. Prompt administration of anti-D immunoglobulin after sensitising events and post-delivery is key in the prevention of Rhesus isoimmunisation.

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