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Caesarian Section Rate at Federal Medical Centre, Makudi, Revisited
Abstract
Context: Regular auditing of caesarean section rate is important to establish trend, review indications, associated complications and offer possible solutions to improve outcome.
Objective: To audit caesarean section rate done over a 3 year period from January 2010 to December 2012 and to compare such with the last reported study done at the same centre.
Materials and Method: A three year retrospective study from January 2010 to December 2012 involving all women who had caesarean delivery at the Federal Medical Centre Makurdi was conducted.
Results: The overall caesarean section (CS) rate was 15.2%. The CS rate in 2010, 2011 and 2012 showed a steady increase of 14.2%, 14.6% and 16.8% respectively.
Cephalopelvic disproportion ( 25.3%) was the commonest indication for CS, followed by fetal distress (16.6%) and previous CS for booked patients. For unbooked patients, fetal distress (23.8%) and obstructed labour (20.4%) were the commonest indications. Over 80% of the procedure was carried out by registrars with consultants accounting for only 13.1%.
Conclusion: The CS rate has steadily been on the increase in our facility compared with the last, though better than most, reported in this country. There is much room for improvement.
Objective: To audit caesarean section rate done over a 3 year period from January 2010 to December 2012 and to compare such with the last reported study done at the same centre.
Materials and Method: A three year retrospective study from January 2010 to December 2012 involving all women who had caesarean delivery at the Federal Medical Centre Makurdi was conducted.
Results: The overall caesarean section (CS) rate was 15.2%. The CS rate in 2010, 2011 and 2012 showed a steady increase of 14.2%, 14.6% and 16.8% respectively.
Cephalopelvic disproportion ( 25.3%) was the commonest indication for CS, followed by fetal distress (16.6%) and previous CS for booked patients. For unbooked patients, fetal distress (23.8%) and obstructed labour (20.4%) were the commonest indications. Over 80% of the procedure was carried out by registrars with consultants accounting for only 13.1%.
Conclusion: The CS rate has steadily been on the increase in our facility compared with the last, though better than most, reported in this country. There is much room for improvement.
