Magnitude and Pattern of Caesarean Sections in a Teaching Hospital, Northwest Nigeria: A 5 Year Analysis

I. S. Abubakar; A. Rabiu; A. D. Mohammed

doi:doi:10.11648/j.jgo.20150302.12

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Magnitude and Pattern of Caesarean Sections in a Teaching Hospital, Northwest Nigeria: A 5 Year Analysis

I. S. Abubakar, A. Rabiu, A. D. Mohammed

Published in Journal of Gynecology and Obstetrics (Volume 3, Issue 2)

Received: 1 February 2015 Accepted: 25 February 2015 Published: 2 March 2015

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Abstract

Background: The pattern of Caesarean section rate is on the rise with emergency surpassing elective caesarean deliveries. This could not be unconnected to the safety of anaesthesia in modern obstetrics. Method: Data on Caesarean deliveries conducted from January, 2005 to December, 2009 was analyzed using Epi Info Statistical Software. Results: The Caesarean section rate was 18.75%. The mean age was 28.02±5.86 years. Emergency Caesarean section was the majority (59.4%) while the remaining (40.6%) were elective. General anaesthesia was used for the majority (66.68 %) of the cases, while 33.32% had subarachnoid block. Univariate analysis, shows statistically significant association between the type of surgery and anaesthetic technique used (χ2=22.741, df = 1, p = 0.000). A statistically significant association was also established between age group of the patients and the anaesthetic technique (χ2=10.878, df = 2, p = 0.004). However, there was no statistically significant association between age group of the patients and the type of Caesarean section (χ2=0.224, df = 2, p = 0.894). Conclusion: The high rate of emergency caesarean intervention has been a persistent denominator in several studies. The root cause of these anomalies such as dearth of expertise at secondary facilities should be addressed. With effective pregnancy supervision, obstetric cases that would end with emergency intervention can be handled electively.

Published in	Journal of Gynecology and Obstetrics (Volume 3, Issue 2)
DOI	10.11648/j.jgo.20150302.12
Page(s)	26-28
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Caesarean Sections, Magnitude, Northern Nigeria, Pattern, Teaching Hospital

References

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[2]	Young JH. Caesarean section: The history and development of the operation from earliest times. London, HK Lewis & Companies. 1944
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[6]	Gartland MG, taryor VD, Norman AM, Vermund SH. Access to facility delivery and caesarean section in north-central Liberia; a cross-sectional community-based study. BMJ Open 2012; 2: e001602.doi:10.1136/bmjopen-2012-001612
[7]	World Health Organization. Appropriate technology for birth. Lancet 1985; 2: 436-7
[8]	Obuna JA, Ugboma HAA, Ejike BN, Umeora OUJ, Agwu UM. Pattern and outcome of higher order Caesarean section in a secondary health facility in Nigeria. Research in ObstGynecol 2012; 1 (3): 19-22
[9]	Nwobodo EI, Isah AY, Panti A. Elective Caesarean section in a tertiary hospital in Sokoto, Northwestern Nigeria. Niger J Med. 2011; 52(4): 263-5
[10]	American society of Anesthesiologists Task Force on obstetric anaesthesia practice guidelines for obstetrics anaesthesia. An updated report by the American Society of Anaesthesiologist Task Force on obstetric anaesthesia. Anaesthesiology 2007; 106: 843-63.doi10.1097/01.anes.0000264744.63275.10
[11]	Cyna AM, Dodd J. Clinical update: Obstetric anaesthesia. Lancet 2007; 370:642.doi10.1016/s0140-6736(07)61320-8
[12]	Ijaiya MA, Aboyeji PA. Caesarean delivery: The trend over a ten year period at Ilorin, Nigeria. Nig J Surg Res. 2001; 3(1): 42-9
[13]	Obuna JA, Ugboma HAA, Ejikeme BN, Umeora OUJ, Agwu UM. Pattern and outcome of higher order Caesarean section in a secondary health facility in Nigeria. Research ObstetGynaecol 2012; 1(3): 19-22 DOI: 10.5923/j.rog20120103.01
[14]	Geidam AD, Audu BM, Kawuwa BM, Obed TY. Rising trend and indications of Caesarean section at the university of Maiduguri Teaching Hospital, Nigeria. Ann Afr Med 2009; 8:127-32
[15]	Mutihir JT, Daru PH, Ujah IAO. Elective Caesarean sections at the Jos University Teaching Hospital. Trop J Obstet Gynecol 2005; 22(1): 39-41
[16]	Shibli KU, Russell IF. A survey of anaesthetic techniques used for caesarean section in the UK in 1997. Int J ObstetAnesth 2000; 9: 160-7
[17]	Galadanci HS, Mohammed AD, Atiku M, Habeeb MM, Danjuma M, Ibrahim SA. Safety and acceptability of spinal anaesthesia for caesarean section in Kano, Nigeria. Oral presentation 49th WACS annual conference

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APA Style

I. S. Abubakar, A. Rabiu, A. D. Mohammed. (2015). Magnitude and Pattern of Caesarean Sections in a Teaching Hospital, Northwest Nigeria: A 5 Year Analysis. Journal of Gynecology and Obstetrics, 3(2), 26-28. https://doi.org/10.11648/j.jgo.20150302.12

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ACS Style

I. S. Abubakar; A. Rabiu; A. D. Mohammed. Magnitude and Pattern of Caesarean Sections in a Teaching Hospital, Northwest Nigeria: A 5 Year Analysis. J. Gynecol. Obstet. 2015, 3(2), 26-28. doi: 10.11648/j.jgo.20150302.12

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AMA Style

I. S. Abubakar, A. Rabiu, A. D. Mohammed. Magnitude and Pattern of Caesarean Sections in a Teaching Hospital, Northwest Nigeria: A 5 Year Analysis. J Gynecol Obstet. 2015;3(2):26-28. doi: 10.11648/j.jgo.20150302.12

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@article{10.11648/j.jgo.20150302.12,
  author = {I. S. Abubakar and A. Rabiu and A. D. Mohammed},
  title = {Magnitude and Pattern of Caesarean Sections in a Teaching Hospital, Northwest Nigeria: A 5 Year Analysis},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {3},
  number = {2},
  pages = {26-28},
  doi = {10.11648/j.jgo.20150302.12},
  url = {https://doi.org/10.11648/j.jgo.20150302.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20150302.12},
  abstract = {Background: The pattern of Caesarean section rate is on the rise with emergency surpassing elective caesarean deliveries. This could not be unconnected to the safety of anaesthesia in modern obstetrics. Method: Data on Caesarean deliveries conducted from January, 2005 to December, 2009 was analyzed using Epi Info Statistical Software. Results: The Caesarean section rate was 18.75%. The mean age was 28.02±5.86 years. Emergency Caesarean section was the majority (59.4%) while the remaining (40.6%) were elective. General anaesthesia was used for the majority (66.68 %) of the cases, while 33.32% had subarachnoid block. Univariate analysis, shows statistically significant association between the type of surgery and anaesthetic technique used (χ2=22.741, df = 1, p = 0.000). A statistically significant association was also established between age group of the patients and the anaesthetic technique (χ2=10.878, df = 2, p = 0.004). However, there was no statistically significant association between age group of the patients and the type of Caesarean section (χ2=0.224, df = 2, p = 0.894). Conclusion: The high rate of emergency caesarean intervention has been a persistent denominator in several studies. The root cause of these anomalies such as dearth of expertise at secondary facilities should be addressed. With effective pregnancy supervision, obstetric cases that would end with emergency intervention can be handled electively.},
 year = {2015}
}

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TY - JOUR
T1 - Magnitude and Pattern of Caesarean Sections in a Teaching Hospital, Northwest Nigeria: A 5 Year Analysis
AU - I. S. Abubakar
AU - A. Rabiu
AU - A. D. Mohammed
Y1 - 2015/03/02
PY - 2015
N1 - https://doi.org/10.11648/j.jgo.20150302.12
DO - 10.11648/j.jgo.20150302.12
T2 - Journal of Gynecology and Obstetrics
JF - Journal of Gynecology and Obstetrics
JO - Journal of Gynecology and Obstetrics
SP - 26
EP - 28
PB - Science Publishing Group
SN - 2376-7820
UR - https://doi.org/10.11648/j.jgo.20150302.12
AB - Background: The pattern of Caesarean section rate is on the rise with emergency surpassing elective caesarean deliveries. This could not be unconnected to the safety of anaesthesia in modern obstetrics. Method: Data on Caesarean deliveries conducted from January, 2005 to December, 2009 was analyzed using Epi Info Statistical Software. Results: The Caesarean section rate was 18.75%. The mean age was 28.02±5.86 years. Emergency Caesarean section was the majority (59.4%) while the remaining (40.6%) were elective. General anaesthesia was used for the majority (66.68 %) of the cases, while 33.32% had subarachnoid block. Univariate analysis, shows statistically significant association between the type of surgery and anaesthetic technique used (χ2=22.741, df = 1, p = 0.000). A statistically significant association was also established between age group of the patients and the anaesthetic technique (χ2=10.878, df = 2, p = 0.004). However, there was no statistically significant association between age group of the patients and the type of Caesarean section (χ2=0.224, df = 2, p = 0.894). Conclusion: The high rate of emergency caesarean intervention has been a persistent denominator in several studies. The root cause of these anomalies such as dearth of expertise at secondary facilities should be addressed. With effective pregnancy supervision, obstetric cases that would end with emergency intervention can be handled electively.
VL - 3
IS - 2
ER -

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Author Information

I. S. Abubakar

Department of Obstetrics and Gynaecology, Bayero University, Kano, Nigeria
A. Rabiu

Department of Obstetrics and Gynaecology, Bayero University, Kano, Nigeria
A. D. Mohammed

Department of Anesthesiology and Intensive Care, Bayero University, Kano, Nigeria

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Plain Text BibTeX RIS

APA Style

I. S. Abubakar, A. Rabiu, A. D. Mohammed. (2015). Magnitude and Pattern of Caesarean Sections in a Teaching Hospital, Northwest Nigeria: A 5 Year Analysis. Journal of Gynecology and Obstetrics, 3(2), 26-28. https://doi.org/10.11648/j.jgo.20150302.12

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ACS Style

I. S. Abubakar; A. Rabiu; A. D. Mohammed. Magnitude and Pattern of Caesarean Sections in a Teaching Hospital, Northwest Nigeria: A 5 Year Analysis. J. Gynecol. Obstet. 2015, 3(2), 26-28. doi: 10.11648/j.jgo.20150302.12

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AMA Style

I. S. Abubakar, A. Rabiu, A. D. Mohammed. Magnitude and Pattern of Caesarean Sections in a Teaching Hospital, Northwest Nigeria: A 5 Year Analysis. J Gynecol Obstet. 2015;3(2):26-28. doi: 10.11648/j.jgo.20150302.12

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@article{10.11648/j.jgo.20150302.12,
  author = {I. S. Abubakar and A. Rabiu and A. D. Mohammed},
  title = {Magnitude and Pattern of Caesarean Sections in a Teaching Hospital, Northwest Nigeria: A 5 Year Analysis},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {3},
  number = {2},
  pages = {26-28},
  doi = {10.11648/j.jgo.20150302.12},
  url = {https://doi.org/10.11648/j.jgo.20150302.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20150302.12},
  abstract = {Background: The pattern of Caesarean section rate is on the rise with emergency surpassing elective caesarean deliveries. This could not be unconnected to the safety of anaesthesia in modern obstetrics. Method: Data on Caesarean deliveries conducted from January, 2005 to December, 2009 was analyzed using Epi Info Statistical Software. Results: The Caesarean section rate was 18.75%. The mean age was 28.02±5.86 years. Emergency Caesarean section was the majority (59.4%) while the remaining (40.6%) were elective. General anaesthesia was used for the majority (66.68 %) of the cases, while 33.32% had subarachnoid block. Univariate analysis, shows statistically significant association between the type of surgery and anaesthetic technique used (χ2=22.741, df = 1, p = 0.000). A statistically significant association was also established between age group of the patients and the anaesthetic technique (χ2=10.878, df = 2, p = 0.004). However, there was no statistically significant association between age group of the patients and the type of Caesarean section (χ2=0.224, df = 2, p = 0.894). Conclusion: The high rate of emergency caesarean intervention has been a persistent denominator in several studies. The root cause of these anomalies such as dearth of expertise at secondary facilities should be addressed. With effective pregnancy supervision, obstetric cases that would end with emergency intervention can be handled electively.},
 year = {2015}
}

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