Document Type : Original Research Article
Authors
1
PhD Student, Department of Nursing Science, Faculty of Clinical Sciences, Bowen University Iwo, Nigeria
2
BSc, Department of Nursing, Bowen University Teaching Hospital, Ogbomoso, Nigeria
3
Professor, Department of Nursing, Faculty of Clinical Sciences, University of Ibadan, Nigeria
4
Assistant Professor, Department of Nursing, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Nigeria
5
PhD Student, Department of Nursing Science, Faculty of Clinical sciences, Bowen University Iwo, Nigeria
10.22038/jmrh.2024.70385.2072
Abstract
Background & aims: The prevalence of caesarean section as a mode of delivery is on a steady increase, it is therefore a good practice to perform periodic assessment of the procedure in various institutions. This study aimed to examine the prevalence, indications and outcomes of caesarean section in a private teaching hospital in Nigeria.
Methods: This retrospective cross-sectional design was conducted on mothers who delivered in Bowen University Teaching Hospital. Data was collected from secondary source using checklist. Case records of patients, maternity records and theatre records of women who delivered via caesarean section from 1st of June 2018 to 31st of May 2022 were retrieved. SPSS version 20 was used to analysed data.
Results: A total of 2,558 deliveries were registered during the four years of survey, out of which 978 (38.2%) was via caesarean section. Mean age of mothers was found to be 30.3±0.15years years. Majority of the women were multi gravida with 59.9%. Previous scar was the leading indication with 15.5% followed by foetal distress and prolonged labour with 13.9% and 13.6% respectively. 152 (15.6%) of the women who had caesarean section exhibited adverse outcomes. The most prevailing adverse outcome was anaemia which accounted for 6.4%.
Conclusion: The prevalence of caesarean section was higher than the World Health Organization recommended rate of 10-15%. Hence, there is need for individualized care during ante-natal care and there should be emphasis on reducing medicalization of pregnancy, aimed at decreasing the need for unnecessary caesarean sections.
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