Primary Caeserean Section In Grandmultiparae At Mater Misericordiae Hosptial Afikpo: A 5 Year Retrospective Study

Abstract

To identify the common indications and the outcome of primary caesarian section in
grandmultiparae at Mater Misericordiae Hospital Afikpo. The case notes of 69 grandmultiparae who had primary caesarean section at Mater MisericordiaeHospitalAfikpo between January 1999 toDecember 2003 inclusively.The information obtained included age, parity, occupation, height, educational status, booking status, indication for caesarean section, operative and post-operative complications, types of anaesthesia, types of uterine incision, mean blood loss, associated pelvic findings and foetal outcome. Eighty nine percent (89%) of 69 primary caesarean sections were done emergency procedure. The commonest indications for a caesarean section were dystocia (76.8%), antepartum haemorrhage (17.4%), essential hypertension (10.1%) Puerperal pyrexia (24.6%), haemorrhage (7.2%)wound dehiscence (4.3%) and anaemia (2.9%), were the commonest intra- and post operative complications encountered. The perinatal mortality ratewas 153/1000.Therewere twomaternal deaths (29 per 1000). Health education of the population coupled with better utilization of comprehensive maternity care and family planning facilities are advocated.

Keywords: Caesarean Section, Grand multiparae.

Nigerian Journal of Clinical Practice Vol. 11 (4) 2008: pp. 368-371