To Study The Indications And Outcome Of Caesarean Section At A Tertiary Health Facility Located In A Rural Setting.

  • Hrishikesh M. Mandhane Department of Obstetrics and Gynecology, PDVVPF Memorial Hospital, Ahmednagar
  • G. S Aher Department of Obstetrics and Gynecology, PDVVPF Memorial Hospital, Ahmednagar
Keywords: Caesarean Section, Indications, Tertiary care hospital. Previous LSCS, Cephalo-pelvic disproportion, Oligohydromnios.

Abstract

Background: Caesarean section (CS) is a common surgical procedure performed in women of reproductive age. The numerous indications for a CS may be due to fetal or maternal problems. Though it is a life saving procedure, it also carries a higher morbidity and mortality than vagina delivery.

Method: This is a retrospective study conducted from January 2014 to December 2014 at a secondary health facility located in a rural setting in Ahmednagar. The theatre registers were the sources of data.

Results: There were fourteen indications for the 731-caeserean sections performed with previous LSCS being

The highest indication. Previous LSCS, Fetal distress, CPD and Oligohydromnios were the major indications for caesarean

Section. There were 1 maternal death and 4 stillbirths out of the 731 babies delivered.

Conclusion: Changing trends and changing indications are very well can be seen from the study suggesting that “Once a cesarean always a cesarean†is what we seem to achieve in near future.

Downloads

Download data is not yet available.

Author Biography

Hrishikesh M. Mandhane, Department of Obstetrics and Gynecology, PDVVPF Memorial Hospital, Ahmednagar
Resident Obstetrics and gynecology

References

Kwawukume EY. Caeserean Section. In Kwawukume EY, Emuveyan E (Editors). Comprehensive obstetrics in the tropics. Asante and Hittcher Printing Press Ltd. Accra. 2000: 321-9.

Nwosu C, Agumor K, Aboyeji AP, Ijaiya MA. Outcome of caesarean section in a sub-urban secondary health care facility in Nigeria. Nig Med Pract. 2004, 46(4): 77-79.

Penn Z, Ghaem-Maghami S. Indications for caesarean section. Best Practice Res Cli Obstet Gynaecol. 2001; 15(1): 1-15.

Otubu JA. Caeserean section. In Agboola A (Editor) Textbook of obstetrics and gynaecology for medical students. Vol 2. Lagos. Heinemann Educational Books (Nigeria) Plc. 1999: 218-231.

Marc H. Operative delivery. In Alan HD, Lawre N (Editors) Current obstetrics and gynaecological diagnosis and treatment. Tenth Edition. New York. McGraw Hill Publishers. 2007: 469-476.

Sule ST, Matawal BI. Comparison of indications for caeserean section in Zaria, Nigeria 1985-1995. Annals Afr Med. 2003; 2(2): 77-79.

Wagner M. Choosing caeserean section. The Lancet 2000. 356: 1677-1680.

Ikeako LC, Nwajaku L, Ezegwui HU. Caesarean section in a secondary health hospital in Awka, Nigeria. Niger Med J. 2009, 50(3): 64-67.

Ijawiya MA, Aboyeji AA. Caesarean Delivery: The trend over a ten-year period at Ilorin, Nigeria. Nig J Surg Res. 2011. 3(1): 11-18.

Ezechi OC, Nwokoro CA, Kalu BKE, Njokanma FO, Okeke GCE. Caeserean morbidity and mortality in a private hospital in Lagos, Nigeria. Trop J Obstet Gynaecol. 2002. 19: 97-100.

Alsien AO, Lawson JO, Adebayo AA. A five-year appraisal of caeserean section in a northern Nigerian University Teaching Hospital. Niger Postgrad Med J. 2002. 9: 146-50.

Oladapo OT, Sotunsu JO, Sule-Odu AO. The rise in caeserean birth in Sagamu, Nigeria: reflection of changes in obstetrics practice. J Obstet Gynecol. 2004, 24: 377-81.

Geidam AD, Audu BM, Kawuwa BM, Obed JY. Rising trends and indications of caeserean section at the University of Maiduguri Teaching Hospital, Nigeria. Annals Afr Med. 2009; 8(2): 127-132.

Ebrashy A, Kassab A, Nada A, Saleh W, Solima A. Caeserean section in a university and general tertiary hospitals in Cairo, Egypt: rates, indications, and limits. Kasr Al-Aini J Obstet Gynaecol KAJOG. 2011; 2(1):20-26

Aboyeji AP, Fawole AA. Maternal mortality associated with caeserean section in Ilorin, Nigeria. Trop J Med Res. 2003; 17(2): 4-7.

Omole-Ohonsi A, Ashini AO. Obstructed labour: a sixyear review in Aminu Kano Teaching Hospital, Kano, Nigeria. Nig Med Pract. 2007; 51(4): 59-63.

Ebeigbe PN, Azken ME. Early Onset pregnancy induced hypertension And Eclampsia in Benin City, Nigeria. Niger J Clin Pract. 2010; 13(4): 388-393.

Ajuzieogu OV, Ezike HA, Amucheazi AO, Enwereji J. A retrospective study of the outcome of caeserean section for women with severe pre-eclampsia in a third world setting. Saudi J Anaesth. 2011; 5(1): 5-18.

Deley L. Maternal mortality associated with hypertensive disorders of pregnancy in Africa, Latin America, and Caribbean. Bri J Obstet Gynaecol. 1992; 99: 547-53.

Gofton E, Capewell V, Natale R, Gratton R. Obstetric intervention rates and maternal and neonatal outcomes of women with gestational hypertension. Am J Obstet Gynecol. 2001; 185:798-803.

Terrone D, Isler C, May W, Magann E, Norman P, Martin J. Cardiopulmonary morbidity as a complication of severe pre-eclampsia HELLP Syndrome. J Perinatal. 2000; 20: 78-81.

Adekunle DA, Adeyemi AS, Fadero FF. Ante-Partum haemorrhage and pregnancy outcome in LAUTECH teaching hospital, southwestern Nigeria. J Med Medical Sci. 2011; 2(12): 1243-1247.

Igwebe A, Ugbeaja J, Obiechia N. An appraisal of caesarean section for twin pregnancies in a private hospital in southeast, Nigeria. Global J Med Res. 2010 10(2): 22-25.

Latika S. A 10 years analysis of uterine rupture at a teaching institution. J Obstet Gynaecol India. 2006; 56(6): 502-506.

Agida ET, Adeka BI, Jibril KA. Pregnancy outcomes in eclampsia at the University Of Abuja Teaching Hospital, Gwagwalada, Abuja: a 3-year review. Niger J Clin Pract. 2010; 13(4): 394-398.

Okeudo C, Ojiyi EC, Ezem BU, Dike EL. Preliminary outcome of the management of eclampsia at The Imo State University Teaching Hospital. Port Harcourt Med J. 2011; 6: 23-29.

Adhikari S, Dasgupta M, Sanghamita M. Management of obstructed labour: a retrospective study. J Obstet Gynaecol. 2005; 55(1): 48-51.

Okonufua FE, Omo-Aghoja LO, Aisien OA, Akuse JT, Bergstrom S. Maternal mortality and emergency obstetric care in Benin City, South-South Nigeria. J Cli Med Res. 2010; 2(4): 55-60.

Owolabi TA, Fatusi AO, Kuti O, Adeyemi A, Farturoti SO, Obiajuwa PO. Maternal complications and perinatal outcomes in booked and unbooked Nigerian mothers. Singapore Med J. 2008; 49(7): 526.

Holtz S, Stanton C. Assessing the quality of caesarean birth data in the demographic and health surveys. Stud Fam Plann. 2007 Mar; 38(1): 47-54.

Published
2015-10-11
How to Cite
1.
Mandhane H, Aher G. To Study The Indications And Outcome Of Caesarean Section At A Tertiary Health Facility Located In A Rural Setting. AMS [Internet]. 11Oct.2015 [cited 22Dec.2024];2(7):105-7. Available from: http://asdpub.com/index.php/ams/article/view/221
Section
Original Articles

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.