https://doi.org/10.4081/aamr.2024.468

Cesarean section at the Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, northeast Nigeria: a 3-year retrospective review

Vol. 7 No. 1 (2024)
Published: April 19, 2024
Cesarean section, incidence, outcome, Bauchi
Abstract Views: 25
PDF: 20
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

  • Atiku Musa • atikumusa@gmail.com Department of Obstetrics & Gynecology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria.
  • Lamaran Makama Dattijo Department of Obstetrics & Gynecology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria.
  • Muhammad Baffa Aminu Department of Obstetrics & Gynecology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria.
  • Henry O. Palmer Department of Obstetrics & Gynecology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria.
  • Bala Muhammad Audu Federal University of Health Sciences, Azare, Nigeria.

Cesarean section is the most common major surgical procedure in obstetrics, and its rate has increased globally in recent years. The aim of the study was to determine the incidence, indications, maternal/perinatal outcome, and complications of cesarean section in the Abubakar Tafawa Balewa University Teaching Hospital Bauchi (ATBUTH), Bauchi, Nigeria. The study reviewed all cesarean sections performed between July 1, 2016, and June 30, 2019. Case notes of patients and records from the labor ward, theater, and special care baby unit were used to obtain data, which included age, parity, booking status, type of cesarean section, maternal morbidity and mortality, and the perinatal outcome. Analysis was done using SPSS version 21, and data was presented in tables and charts in addition to ratios, proportions, and percentages. A total of 10,705 deliveries were conducted during the review period, of which 3,380 were cesarean births, given a cesarean section rate of 31.57%. Emergency cesarean sections accounted for 67.72%, and 81.39% of all the sections were primary cesarean sections. Only 3,501 parturients (32.70%) were booked. Hypertensive Disorders of Pregnancy (HDP), 733 (29.17), were the most common indication for the operation, followed by repeat cesarean section, 373(25.37%). About 87.86% of the fetuses were delivered alive, while 12.14% were stillborn and had an early neonatal death. Anemia was the most common postoperative complication seen in 13% of the women who had a cesarean delivery. The most debilitating complication was vesicovaginal fistula which occurred in eight patients (0.24%). The maternal mortality and perinatal mortality rates were 580/100,000 live births and 121.42/1000 babies, respectively, during the review period. The study showed a high rate of cesarean section in ATBUTH. The commonest indication was HDP, and anemia was the significant post-operative complication.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Ugwa E, Ashimi A, Abubakar MY. Cesarean section and perinatal outcomes in a sub-urban tertiary hospital in North-West Nigeria. Niger Med J 2015;56:180-4. DOI: https://doi.org/10.4103/0300-1652.160360
Betran AP, Ye J, Moller A-B, et al. Trends and projections of cesarean section rates: global and regional estimates. BMJ Global Health 2021;6:e005671. DOI: https://doi.org/10.1136/bmjgh-2021-005671
Sobhy S, Arroyo-Manzano D, Murugesu N, et al. Maternal and perinatal mortality and complications associated with cesarean section in low-income and middle-income countries: a systematic review and meta-analysis. Lancet 2019;393:1973-82. DOI: https://doi.org/10.1016/S0140-6736(18)32386-9
Mamah JE, Asiegbu OG, Asiegbu UV, et al. A six-year review of cesarean sections at the Federal Teaching Hospital Abakaliki, Ebonyi State, South East Nigeria. Open Journal of Obstetrics and Gynecology 2020;10:1669-76. DOI: https://doi.org/10.4236/ojog.2020.10120150
Osegi N, Makinde OI. Towards optimizing cesarean section: a five-year review of cesarean sections at a Southern Nigeria hospital. Int J Reprod Contracept Obstet Gynecol 2020;9:205-11. DOI: https://doi.org/10.18203/2320-1770.ijrcog20196021
Ugwu EOV, Obioha KCE, Okezie OA, Ugwu AO. A five-year survey of cesarean delivery at a Nigerian tertiary hospital. Ann Med Health Sci Res. 2011;1:77-83.
Isah AD, Adewole N, Zaman J. A five-year survey of cesarean delivery at a Nigerian tertiary hospital. Trop J Obstet Gynaecol 2018;35:14-7. DOI: https://doi.org/10.4103/TJOG.TJOG_59_17
Daniel CN, Singh S. Cesarean delivery: an experience from a tertiary institution in northwestern Nigeria. Niger J Clin Pract 2016;19:18-24. DOI: https://doi.org/10.4103/1119-3077.164350
Geidam AD, Audu BM, Kawuwa BM, Obed JY. Rising trends and indications of cesarean section at the University of Maiduguri Teaching Hospital, Nigeria. Ann Afr Med 2009;8:127-32. DOI: https://doi.org/10.4103/1596-3519.56242
Chama CM, El-Nafaty AU, Idrisa A. Cesarean Morbidity and mortality at Maiduguri, Nigeria. J Obstet Gynaecol 2000;20:45-8. DOI: https://doi.org/10.1080/01443610063453
Nwobodo EL, Isah AY, Panti A. Elective cesarean section in a tertiary hospital in Sokoto, northwestern Nigeria. Niger Med J. 2011;54:263-5. DOI: https://doi.org/10.4103/0300-1652.93801
Ikeako LC, Nwajiaku L, Ezegui HU. Cesarean section in a secondary health hospital in Awka, Nigeria. Niger Med J 2009;50:64-7.
Igberase GO, Ebeigbe PN, Andrew BO. High Cesarean Section rate: a ten-year experience in a tertiary hospital in the Niger Delta, Nigeria. Niger J Clin Pract 2009;12:294-7.
Adekanle DA, Adeyemi AS, Fasanu AO. Cesarean section at a tertiary institution in South-Western Nigeria – A 6-year audit. Open J Obstet Gynaecol 2013;3:357-61. DOI: https://doi.org/10.4236/ojog.2013.33066
Singh S, Ahmed EB, Egondu SC, Ikechukwu NE. Hypertensive disorders in pregnancy among pregnant women in Teaching Hospital. Niger Med J 2014;55:384-8. DOI: https://doi.org/10.4103/0300-1652.140377
Myers JE, Baxer PN. Hypertensive diseases and Eclampsia. Curr Opin Obstet Gynaecol 2002;14:119-25. DOI: https://doi.org/10.1097/00001703-200204000-00004

How to Cite

Musa, A., Dattijo , L. . M., Aminu, M. B., Palmer, H. O., & Audu, B. M. (2024). Cesarean section at the Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, northeast Nigeria: a 3-year retrospective review. Annals of African Medical Research, 7(1). https://doi.org/10.4081/aamr.2024.468
Copyright (c) 2024 the Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.