Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Home Print this page Email this page
Users Online:: 1118
ORIGINAL ARTICLE
Year : 2016  |  Volume : 19  |  Issue : 4  |  Page : 175-179

Maternal and fetal outcomes following cesarean deliveries: A cross-sectional study in a tertiary health institution in North-Western Nigeria


1 Department of Obstetrics and Gynecology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
2 Department of Pathology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria

Correspondence Address:
D C Nnadi
Department of Obstetrics and Gynaecology, Usmanu Danfodiyo University Teaching Hospital, PMB 2370, Sokoto
Nigeria
Login to access the Email id


DOI: 10.4103/1118-8561.196355

Rights and Permissions

Background: Cesarean section (CS) is employed when vaginal delivery is not feasible or hazardous to the mother and/or her baby. The procedure, however, is not without risk. We determined the maternal and early neonatal outcomes of CS in a Tertiary Hospital in Nigeria. Materials and Methods: This is a 2-year cross-sectional study of all CS deliveries performed at the Usmanu Danfodiyo University Teaching Hospital, Sokoto, North-Western Nigeria, from July 01, 2009, to June 30, 2011. All patients who had CS at any time within the 24 h period were noted and followed up until discharge. The sociodemographic data, types of CS, anesthesia, indications, cadre of a surgeon, and feto-maternal outcomes were documented in a proforma. Statistical analysis was carried out using the EPI INFO 3.5.1 (CDC Atlanta Georgia, USA). Results: There were 4462 deliveries out of which 504 (11.3%) were by CS. The age range of the subjects was between 15 and 50 years, and the mean age was 28.7 (3.05) years. Most of the subjects 75.2% (379/504) were multigravida while the primigravida constituted 3.1% (16/504). CS was performed for emergency reasons in 57.1% (288/504) while elective CS constituted 42.9% (216/504) of cases. The most frequent indication for emergency CS was obstructed labor 25.7% (30/288) and previous CS 39.8% (86/216) for elective CS. There were 514 babies delivered during the study of which 98.1% (504/514) were singletons while 1.9% (10/514) was multiple gestations. The maternal complication rate was 13.3% (67/504), and the main complication was hemorrhage 59.7% (40/67). Complications were more frequent with emergency CS compared to elective surgery (Chi-square test [χ2 ] =6.633, df = 1, P < 0.01) and with junior compared to senior residents (χ2 = 15.9, df = 1, P < 0.001). There was also a significant relationship between the fetal Apgar scores and the type of CS. The low 1 st and 5 th min Apgar scores were more frequent with emergency cases compared to elective CS (χ2 = 30.60, df = 1, P < 0.001; χ2 = 4.62.df = 1, P < 0.003). There were 10 maternal and 60 perinatal deaths. Conclusion: The CS rate in this study was 11.3%. Obstructed labor and previous CS among multigravida were the most frequent indications. Maternal and perinatal complications were more frequent with emergency CS and in the referred cases.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2410    
    Printed26    
    Emailed0    
    PDF Downloaded1408    
    Comments [Add]    

Recommend this journal