Okezie A O, Oyefara B, Chigbu C O
Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
J Obstet Gynaecol. 2007 Jul;27(5):470-4. doi: 10.1080/01443610701405945.
Between January 2001 and December 2004, a total of 2,922 deliveries were conducted at the University of Nigeria Teaching Hospital , Enugu. Caesarean section accounted for 740 deliveries, an incidence of 25.3%. A total of 62.2% of caesarean sections were done as emergencies, while 37.8% were done as elective procedures and 64.8% were booked patients. Repeat caesarean sections accounted for 59.2% of elective cases and 18.7% of emergency cases. Fetal distress was responsible for 11. 6% of emergency cases, however 35.6% of babies delivered for clinically diagnosed fetal distress had Apgar scores 7 and above. A total of 85.6% of patients were between 25 - 29 years of age; 31% were primigravida, while 54.4% were Gravida 2 - 4. There were seven (0.6%) maternal deaths and 73 (9.2%) stillbirths. It was concluded that reduction of primary caesarean section rate and repeat caesarean rates should be the main target of any strategy to reduce caesarean section rate. Other measures to reduce the caesarean section rate and recommendations are discussed.
2001年1月至2004年12月期间，尼日利亚大学教学医院（位于埃努古）共进行了2922例分娩。剖宫产有740例，发生率为25.3%。剖宫产中62.2%为急诊手术，37.8%为择期手术，64.8%为预约患者。再次剖宫产占择期病例的59.2%，占急诊病例的18.7%。胎儿窘迫占急诊病例的11.6%，然而，因临床诊断为胎儿窘迫而分娩的婴儿中，35.6%的阿氏评分在7分及以上。共有85.6%的患者年龄在25至29岁之间；31%为初产妇，54.4%为经产妇（孕2至4次）。有7例（0.6%）产妇死亡和73例（9.2%）死产。研究得出结论，降低初次剖宫产率和再次剖宫产率应是降低剖宫产率的任何策略的主要目标。文中还讨论了降低剖宫产率的其他措施及建议。
