Pattern and Outcome of Higher Order Caesarean Section in a Tertiary Health Institution in Nigeria
Journal Title: International Journal of TROPICAL DISEASE & Health - Year 2016, Vol 17, Issue 4
Abstract
Objective: To determine the rate, pattern and outcome of higher order caesarean section (HOCS) in a tertiary health facility. Materials and Methods: A retrospective study of 182 women who had undergone three or more caesarean sections at the obstetric unit of the University of Port Harcourt Teaching Hospital, (UPTH) Nigeria, between January 1, 2008 and December 31, 2014 was conducted. Data obtained from the theatre records and case notes of patients were analysed using the statistical package SPSS 20. Results: Over the 7-year period under review, there were 20,258 deliveries. The overall caesarean section rate was 42.7%. The rate of HOCS per total caesarean section was 2.1%. Of the 182 higher order caesarean section, 114 (62.6%) were emergency HOCS and 68 (37.4%) were elective. The perinatal mortality rate from emergency higher order caesarean section was high (36.4/1000). There was no perinatal death with elective caesarean section. Major degree placenta praevia was the commonest antenatal complication while severe anaemia from primary post partum haemorrhage was the commonest post partum complication, The maternal mortality ratio was 549.1/100,000. There was no maternal death from elective higher order caesarean section. The proportion of higher order caesarean section that was done as an emergency was high with associated feto-maternal morbidity and mortality. Conclusion: Higher order caesarean section was associated with increased feto-maternal morbidity and mortality especially when unplanned. Women should be encouraged to accept planned repeat caesarean section when they have had two or more.
Authors and Affiliations
N. C. Orazulike, J. O. Alegbeleye
Keywords
Related Articles
- EP ID EP329150
- DOI 10.9734/IJTDH/2016/27126
- Views 62
- Downloads 0
Phenotypic Characterisation of Escherichia coli Isolates from Fish, Diarrheic and Healthy Children in Zanzibar, Tanzania
Aims: This study was carried out with the objective of investigating E. coli virulence factors, antibiotic sensitivity, presence of extended-spectrum-β-lactamase [ESBL] and serotype H1 O157 in E. coli from fish foods in...
Pulmonary Cryptococcosis Co-existing with Pulmonary Tuberculosis in a Nigerian HIV-infected Patient: A Case Report
Tuberculosis (TB) and cryptococcosis cause severe morbidity and mortality in HIV-infected individuals in sub-Saharan Africa. However, cryptococcosis and TB co-infection is rare. We present a case of pulmonary cryptococco...
Knowledge, Attitudes and Practices towards Malaria in Mbonge and Kumba Sub-divisions in Cameroon
Aims: To assess knowledge, attitudes and practices regarding transmission, prevention and treatment of malaria in four rural settings and one urban neighborhood. Study Design: Cross-sectional descriptive survey carried o...
Impact of Refugees and Internally Displaced Persons on International Health
The 21st century has been marked with highest distribution of wars and conflicts at local, national, regional, and international levels in world history. This has increased greatly in the last decade with a growing numbe...
Association of Enterococcus faecalis with Different Forms of Dental Diseases among Patients Visiting a Tertiary Hospital in Ekiti State, Nigeria
Aims: The implication of Enterococcus faecalis in dental infections is rising and resistance to common antibiotics continues to rise globally as well. In this study, the association of E. faecalis with different forms of...