Main Article Content
Outcome of Caesarean Section in a Sub-Urban Secondary Health Care Facility in Nigeria
Abstract
During a five-year period between 1st January 1997 and 31st December 2001, one thousand, two hundred and fifty four caesarean sections were performed at General Hospital Mokwa in Niger State of Nigeria.
There were a total of 6,768 deliveries giving caesarean section incidence of 18.5% one thousand one hundred and thirty two (924.2%) were emergency caesarean section while 70(5.8%) were elective. Two hundred and seventy three (22.7%) of the patients were teenager. The common indication of the procedure included cephalopelvic disproportion/obstructed labour 506 (42.1%), antepartum haemorrhage 182 (15.1%) and fetal distress 167 (13.9%). Sepsis was the commonest postoperative complication. The maternal mortality rate was 831.9/100,000 and perinatal mortality rate was 228.1/1,000.
The high incidence of caesarean section in this study is in keeping with the trend worldwide. To reduce the high maternal and perinatal mortalities associated with the procedure, continous retraining of medical staff should be a priority. The socio-economic condition of the populace should also be improved.
Key word: Outcome, Caesarean Section, Sub-urban, Secondary Health Care Facility, Nigeria.
Nigerian Medical Practitioner Vol.46(4) 2004: 77-79
There were a total of 6,768 deliveries giving caesarean section incidence of 18.5% one thousand one hundred and thirty two (924.2%) were emergency caesarean section while 70(5.8%) were elective. Two hundred and seventy three (22.7%) of the patients were teenager. The common indication of the procedure included cephalopelvic disproportion/obstructed labour 506 (42.1%), antepartum haemorrhage 182 (15.1%) and fetal distress 167 (13.9%). Sepsis was the commonest postoperative complication. The maternal mortality rate was 831.9/100,000 and perinatal mortality rate was 228.1/1,000.
The high incidence of caesarean section in this study is in keeping with the trend worldwide. To reduce the high maternal and perinatal mortalities associated with the procedure, continous retraining of medical staff should be a priority. The socio-economic condition of the populace should also be improved.
Key word: Outcome, Caesarean Section, Sub-urban, Secondary Health Care Facility, Nigeria.
Nigerian Medical Practitioner Vol.46(4) 2004: 77-79
