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Prevalence of Caesarean Section Deliveries Among Primigravidae in General Hospital Gboko, Benue State, Nigeria

Received: 1 March 2017     Accepted: 21 March 2017     Published: 18 October 2017
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Abstract

The purpose of the study was to assess the prevalence of caesarean-section among primigravida in general hospital Gboko, Benue State, Nigeria. The study was a hospital-based cross-sectional retrospective survey conducted from January 2016-December 2016. The target population comprised all the primigravida within the age of 16-45 who underwent caesarean section in General Hospital Gboko, Benue State, Nigeria. The sample size consisted of 224 patients that met the inclusion criteria of caesarean deliveries performed after period of viability (28 weeks). Data collection instrument was the hospital delivery records from the maternity units, theatre records, admission and discharge registers in labour ward with outcome of caesarean section using delivery collection sheet. Collected data were analysed using frequency distribution table. Findings revealed increased incidence of caesarean section from a steep of 17.9% recorded in January-February after a rapid rise to 20.5% in September-October to 22.3% in November-December. Finding also showed that most of the cases of caesarean-section achieved a life viable fetus with an APGAR score of 8/10 in the first five minutes of life. Major indications for caesarean-section were due to failure to progress during labour, previous uterine scar, no reassuring fetal status and fetal mal-presentation. It was also revealed that majority of women who had a previous caesarean section ended up having a spontaneous vaginal delivery.

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 3, Issue 5)
DOI 10.11648/j.ijcems.20170305.12
Page(s) 61-65
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Prevalence, Caeserean-Section, Deliveries, Among, Primigravidae, General Hospital, Nigeria

References
[1] Ayano M., Beyene W. A. and Geremew M. A (2017) Prevalence and Outcome of Caesarean Section in Attat Hospital, Gurage Zone, SNNPR, Ethiopia. Archives of Medicine. Pubmed.
[2] Bashore G (2009) Health Consequences of the Increasing Caesarean Section Rates. Journal of epidemiology 18(4): 485-486.
[3] Betran A. P., Merialdi M., Lauer J. A, Bing-Shun W., Thomas J., Van L. P, and Wagner M (2007) Rates of Caesarean Section: Analysis of Global, Regional and National Estimates. Paediatr Perinat Epidemiol 21(2): 98-113. Doi: 10.1111/j.1365-3016.2007.00786.x.
[4] Cunnuingham G., Gant S., Leveno B., Gilstrap F., and Wenstron G. (2008) Caesarean Section: The Definition. Lancet 368 (9546): 1472-1473.
[5] Gabay W. (2013) Reasons for Rising Caesarean Section Rate. Rev Obstet. Gynecol. 5(2): 69-77.
[6] Geidam A. D, Audu B. M., Kawuwa B. M. and Obed J. Y (2009) Rising Trend and Indications of Caeserean Section at the University of Maiduguri Teaching Hospital, Nigeria. Ann Afr Med 8 (2): 127-32. Doi: 10.4103/1596-3519.56242.
[7] Gregory E. (2012) Indications for Caesarean Section. BMC pregnancy childbirth: 14. 92.
[8] Hamilton A., Martin F. and Sullon G. (2007) Reason for Rising Trend of Caesarean Section Deliveryin Sri lanka. Journal of child Health. 40: 11-12.
[9] Landon M. B., and Grobman W. A (2017) Vaginal Birth after Caesarean delivery. 7th edition. Philadelphia, P. A: Elsevier.
[10] Maimoona H., Asthma Y., Nazia B., Muhammad I. P., Nishat A., and Bushra G. (2014) revalence and Indications of Caesarean Section in a Teaching Hospital. JIMSA vol.27 No.1 P.15-16.
[11] Marleen T. (2012) The Value of Carrying out Caesarean Section to save both Mother and Baby. A Systematic Review: PLOS One 6 (1): e 14566.
[12] Penn Z. and Ghaem-Maghami S. (2001) Indications for Caesarean Section. Best Pract Res Clin Obstet Gynaecol 15(1): 1-15. doi: 10.1053/beog.2000.0146.
[13] Williams D. E. and Pridjian G. (2016) Textbook of Family Medicine. 9th Edition. Philadelphia, P. A: Elsevier Saunders.
[14] Yajun L., Guanghui L., Yi C., Xin W., Yan R., Liying Z., and Weiyuan Z. (2014) A Descriptive Analysis of the Indications for Caesarean section in Mainland China. BMC Pregnacy and Childbirth 14: 410. doi: 10.1186/s12884-014-0410-2.
[15] Zied E. T and Sunna S. (2008) Practice Bulletin No 115. Vaginal birth after previous caesarean delivery. Obstet Gynecol 116: 450-463.
Cite This Article
  • APA Style

    Emmanuel Okechukwu Chukwu, Chinasa Joy Ekeh, Habu Haruna, Terkuma Chia, Terna Mesuur Fiase. (2017). Prevalence of Caesarean Section Deliveries Among Primigravidae in General Hospital Gboko, Benue State, Nigeria. International Journal of Clinical and Experimental Medical Sciences, 3(5), 61-65. https://doi.org/10.11648/j.ijcems.20170305.12

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    ACS Style

    Emmanuel Okechukwu Chukwu; Chinasa Joy Ekeh; Habu Haruna; Terkuma Chia; Terna Mesuur Fiase. Prevalence of Caesarean Section Deliveries Among Primigravidae in General Hospital Gboko, Benue State, Nigeria. Int. J. Clin. Exp. Med. Sci. 2017, 3(5), 61-65. doi: 10.11648/j.ijcems.20170305.12

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    AMA Style

    Emmanuel Okechukwu Chukwu, Chinasa Joy Ekeh, Habu Haruna, Terkuma Chia, Terna Mesuur Fiase. Prevalence of Caesarean Section Deliveries Among Primigravidae in General Hospital Gboko, Benue State, Nigeria. Int J Clin Exp Med Sci. 2017;3(5):61-65. doi: 10.11648/j.ijcems.20170305.12

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  • @article{10.11648/j.ijcems.20170305.12,
      author = {Emmanuel Okechukwu Chukwu and Chinasa Joy Ekeh and Habu Haruna and Terkuma Chia and Terna Mesuur Fiase},
      title = {Prevalence of Caesarean Section Deliveries Among Primigravidae in General Hospital Gboko, Benue State, Nigeria},
      journal = {International Journal of Clinical and Experimental Medical Sciences},
      volume = {3},
      number = {5},
      pages = {61-65},
      doi = {10.11648/j.ijcems.20170305.12},
      url = {https://doi.org/10.11648/j.ijcems.20170305.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20170305.12},
      abstract = {The purpose of the study was to assess the prevalence of caesarean-section among primigravida in general hospital Gboko, Benue State, Nigeria. The study was a hospital-based cross-sectional retrospective survey conducted from January 2016-December 2016. The target population comprised all the primigravida within the age of 16-45 who underwent caesarean section in General Hospital Gboko, Benue State, Nigeria. The sample size consisted of 224 patients that met the inclusion criteria of caesarean deliveries performed after period of viability (28 weeks). Data collection instrument was the hospital delivery records from the maternity units, theatre records, admission and discharge registers in labour ward with outcome of caesarean section using delivery collection sheet. Collected data were analysed using frequency distribution table. Findings revealed increased incidence of caesarean section from a steep of 17.9% recorded in January-February after a rapid rise to 20.5% in September-October to 22.3% in November-December. Finding also showed that most of the cases of caesarean-section achieved a life viable fetus with an APGAR score of 8/10 in the first five minutes of life. Major indications for caesarean-section were due to failure to progress during labour, previous uterine scar, no reassuring fetal status and fetal mal-presentation. It was also revealed that majority of women who had a previous caesarean section ended up having a spontaneous vaginal delivery.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Prevalence of Caesarean Section Deliveries Among Primigravidae in General Hospital Gboko, Benue State, Nigeria
    AU  - Emmanuel Okechukwu Chukwu
    AU  - Chinasa Joy Ekeh
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    AU  - Terkuma Chia
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    T2  - International Journal of Clinical and Experimental Medical Sciences
    JF  - International Journal of Clinical and Experimental Medical Sciences
    JO  - International Journal of Clinical and Experimental Medical Sciences
    SP  - 61
    EP  - 65
    PB  - Science Publishing Group
    SN  - 2469-8032
    UR  - https://doi.org/10.11648/j.ijcems.20170305.12
    AB  - The purpose of the study was to assess the prevalence of caesarean-section among primigravida in general hospital Gboko, Benue State, Nigeria. The study was a hospital-based cross-sectional retrospective survey conducted from January 2016-December 2016. The target population comprised all the primigravida within the age of 16-45 who underwent caesarean section in General Hospital Gboko, Benue State, Nigeria. The sample size consisted of 224 patients that met the inclusion criteria of caesarean deliveries performed after period of viability (28 weeks). Data collection instrument was the hospital delivery records from the maternity units, theatre records, admission and discharge registers in labour ward with outcome of caesarean section using delivery collection sheet. Collected data were analysed using frequency distribution table. Findings revealed increased incidence of caesarean section from a steep of 17.9% recorded in January-February after a rapid rise to 20.5% in September-October to 22.3% in November-December. Finding also showed that most of the cases of caesarean-section achieved a life viable fetus with an APGAR score of 8/10 in the first five minutes of life. Major indications for caesarean-section were due to failure to progress during labour, previous uterine scar, no reassuring fetal status and fetal mal-presentation. It was also revealed that majority of women who had a previous caesarean section ended up having a spontaneous vaginal delivery.
    VL  - 3
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Author Information
  • School of Nursing, Mkar, Gboko, Nigeria

  • School of Midwifery, Mkar, Gboko, Nigeria

  • Department of Nursing Science, College of Medical Sciences, University of Maiduguri, Nigeria

  • School of Nursing, Mkar, Gboko, Nigeria

  • School of Nursing, Mkar, Gboko, Nigeria

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