fmc, asaba, OBGYN.
Nnamdi Azikiwe University Teaching Hospital, OBGYN.
Afr Health Sci. 2022 Mar;22(1):172-179. doi: 10.4314/ahs.v22i1.22.
The upward trend of caesarean section and its associated morbidity/mortality especially in low and middle income areas makes regular appraisal of the procedure necessary.
To evaluate caesarean section; its rate, indications, and maternal and fetal outcomes in Asaba.
A retrospective study of all caesarean sections carried out at the obstetrics unit of the Federal Medical Centre, Asaba, between July 1, 2018 and June 31, 2020. Data was analyzed using SPSS version 20.
There were 2778 deliveries during the period, out of which 705 had caesarean sections, giving an overall caesarean section rate of 25.4%.There were 456 (64.7%) emergency caesarean sections. The commonest indication for caesarean section was repeat caesarean section 196 (27.8%), while cephalo-pelvic disproportion 87 (12.3%) was the commonest indication for emergency caesarean section. Majority of the babies had low APGAR score at 1min and 5mins, 126 (27.6%) and 50 (11.0%) from emergency than elective caesarean section 16 (6.4%) and 5 (2.0%) at 1min and 5mins respectively (x2=17.963, P<0.001). There were 31 (4.2%) perinatal deaths out of which majority 28 (6.1%) were from emergency caesarean sections (x2=9.412 P=0.002). The commonest post-operative complication was postpartum anaemia (140 (19.9%) while caesarean section case fatality was 0.6%.
This study showed a caesarean section rate of 25.4% with repeat caesarean section and Cephalopelvic disproportion being the most common indication for elective and emergency caesarean section respectively. Emergency caesarean section accounted for most of the cases and is associated with a higher risk of maternal and perinatal morbidity and mortality.
剖宫产率呈上升趋势，尤其是在中低收入地区，其发病率/死亡率更高，因此有必要定期对剖宫产术进行评估。
评估在奥萨巴（尼日利亚城市名）进行的剖宫产术，包括其发生率、适应证以及母婴结局。
这是一项回顾性研究，对 2018 年 7 月 1 日至 2020 年 6 月 31 日期间在联邦医疗中心妇产科进行的所有剖宫产术进行了研究。数据使用 SPSS 版本 20 进行分析。
在此期间共有 2778 例分娩，其中 705 例行剖宫产术，剖宫产率为 25.4%。其中 456 例（64.7%）为急诊剖宫产术。剖宫产的主要指征是再次剖宫产 196 例（27.8%），而头盆不称 87 例（12.3%）是急诊剖宫产的主要指征。大多数婴儿在 1 分钟和 5 分钟时的 APGAR 评分较低，其中 126 例（27.6%）和 50 例（11.0%）来自急诊剖宫产，而择期剖宫产分别为 16 例（6.4%）和 5 例（2.0%）（x2=17.963，P<0.001）。有 31 例（4.2%）围产儿死亡，其中大多数（6.1%）来自急诊剖宫产（x2=9.412，P=0.002）。最常见的术后并发症是产后贫血（140 例[19.9%]），而剖宫产术病死率为 0.6%。
本研究显示剖宫产率为 25.4%，其中再次剖宫产和头盆不称分别是择期和急诊剖宫产的最常见指征。急诊剖宫产术占多数，且与母婴发病率和死亡率较高相关。
