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Elective caesarean sections at the Jos University Teaching Hospital
Abstract
Objective: To determine the caesarean section rate, examine the trend of elective caesarean sections and the indications for elective caesarean sections amongst our patients.
Methodology: This was a retrospective study of the clinical records of all patients that had caesarean section in Jos Nigeria from January 1985 to December 2002, an 18-year period. Data on the number and type of caesarean section, age of patients and the indication for the elective caesarean section were extracted and analyzed.
Results: A total number of 41 470 deliveries were conducted within the period of study. Out of these deliveries, 6 557 were caesarean sections giving a caesarean section rate of 15.8%. Elective caesarean sections were performed in 970 (14.8%), and emergency caesarean sections in 5 587 (85.2%) of all the caesarean sections. The rate of elective caesarean section increased from 8.9% in 1985-1986 to a rate of 22.5% in the last two years of the study period. Repeat caesarean section was the commonest indication for elective caesarean sections in 51.9% of the cases, followed by bad
obstetric history (BOH) in 10.8%.
Conclusions: Elective caesarean section accounted for 1 out of every 6 caesarean sections in the center. The
commonest single indication for the elective caesarean section was repeat caesarean section for 2 or more previous caesarean sections.
Keywords: elective, emergency, caesarean section, Nigeria
Tropical Journal of Obstetrics and Gynaecology Vol. 22(1) 2005: 39-41
