Wednesday, 25 May 2022

Caesarean Section at the Rivers State University Teaching Hospital, Southern Nigeria: A Five-year Review | Chapter 05 | New Horizons in Medicine and Medical Research Vol. 9

 This chapter looked at the occurrence, trend, and indicators of CS at the Rivers State University Teaching Hospital (RSUTH) in order to enhance management results.

Between January 1, 2015, and December 31, 2019, the RSUTH performed 5,598 caesarean sections (3699 emergency, 1899 planned). The data was analysed using IBM Statistical Product and Service Solutions (SPSS) version 25.0 Armonk, New York. There were 13,516 births and 5,598 instances of CS throughout the study period, resulting in a prevalence of 41.4 percent or 414 per 1000 deliveries. 66.1 percent of CS cases were emergency, while 33.9 percent were planned. There was an increase trend in CS across the review period. The participants' average age was 32.301.04 years (95 percent CI:30.26,34.34). 35-39 years old was the median age group, accounting for 33.2 percent, followed by 30-34 years old (26.2 percent ). The majority of the patients were multiparous [3396 (60.7%)], married [4890 (87.4%), Christians [5540 (99%)], and had a tertiary degree [2800 (50%)]. Previous caesarean section (34 percent) was the most prevalent reason for CS at RSUTH, followed by cephalopelvic disproportion (75 percent), foetal distress (41 percent), preeclampsia (39 percent), and multiple gestation (25 percent).

The number of caesarean sections performed at RSUTH is increasing. Despite the fact that CS saves lives, efforts should be made to lower the rate to the WHO-recommended level, particularly in LMICs where CS is detested.


Author(S) Details

Felix Chikaike Clement Wekere
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria and  Department of Community Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

Rose Sitonma Iwo-Amah
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

Joseph Ngozi Kwosah
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

Adetomi Bademosi
Department of Community Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

Simeon Chijioke Amadi
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

Paul Ledee Kua
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

Dickson Hezekiah John
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

View Book:- https://stm.bookpi.org/NHMMR-V9/article/view/6898

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