Is Caesarean Delivery Safe? Experience from a Low Resource Setting
Journal Title: Asian Journal of Medicine and Health - Year 2017, Vol 3, Issue 1
Abstract
Objective: In Nigeria, women abhor caesarean delivery because of perceived complications arising from it. We compared the maternal morbidity and mortality associated with caesarean and vaginal deliveries in Port Harcourt, Nigeria to ascertain the safety of caesarean delivery. Materials and Methods: This was a prospective study of 1000 consecutive caesarean deliveries at the University of Port Harcourt Teaching Hospital, Nigeria over a one-year period. The control group consisted of women matched for age and parity who had spontaneous vaginal delivery after the subject that had caesarean delivery. Information from the case notes was extracted onto a proforma completed by the doctor after delivery. Descriptive and comparative analysis of data generated was done using Epi Info Version 6.04d. Chi-squared test was used to evaluate differences in the morbidity and mortality rates between the two groups. Results: The caesarean delivery (CD) rate over the study period was 33.1%. Morbidity pattern was similar in both groups in terms of puerperal sepsis (1.1% from CD versus 1.3% from vaginal delivery [VD]) and post-partum haemorrhage (0.6% from CD versus 1.7% from VD). Six maternal deaths occurred among women who had CD, five of which were in those who had emergency CD while five maternal deaths occurred among women who had vaginal delivery. The difference was not statistically significant (p > 0.05). Conclusion: There was no significant difference in terms of morbidity and mortality between caesarean and vaginal delivery in our tertiary institution. Women in low resource countries should be counseled appropriately so that their aversion towards caesarean delivery will be minimized.
Authors and Affiliations
Ngozi C. Orazulike, Justina O. Alegbeleye, Rosemary N. Ogu, Samuel A. Uzoigwe
Keywords
Related Articles
- EP ID EP336697
- DOI 10.9734/AJMAH/2017/32161
- Views 69
- Downloads 0
Risk Factors of Stroke among Patients Admitted to Alkhadra Hospital, Tripoli, Libya (2009-2010)
Aims: To identify the risk factors of stroke among patients admitted to Alkhadra Hospital and to study the association between modifiable risk factors, gender and the type of stroke. Study Design: A cross sectional hospi...
Co-inheritance of Glucose-6-phosphate dehydrogenase Deficiency and Sickle Cell Traits in Sokoto Metropolis
Background: Transfusion from glucose-6-phosphate dehydrogenase (G-6-PD) deficient and Sickle cell traits (HbAS) blood constitute a major health burden and social challenge, especially to jaundiced neonate and sickle cell...
Reproductive Factors Associated with the Risk of Breast Cancer among Malaysian Women: A Multi-Centre Case-Control Study
Aim: This study was conducted to evaluate the association between reproductive factors and the risk of breast cancer among Malaysian women. Study Design: Case-control study. Place and Duration of Study: Oncology clinics...
The Efficacy of the Volume of Hyperbaric Bupivacaine Used and Its Influence on Spinal Anaesthesia Induced Hypotension during Caesarean Section
Aims: To audit the spinal anaesthesia practice among physician anaesthetists and to determine the lowest effective volume of hyperbaric bupivacaine that could minimise the incidence of spinal anaesthesia induced hypotens...
Food Hygiene Knowledge, Practice and Safety Training Intervention among Food Handlers in Abakaliki, Nigeria
Background: Food hygiene and safety are significant public health issues in both developed and developing nations. The objective of this study was to determine the effect of training on knowledge and practice of food hyg...