Caesarian Section in a Private Hospital, in Southeast Nigeria: A 2-Year Review https://doi.org/10.60787/NMJ-64-1-249

Abstract

Background: Most reports of the rate of Caesarean Sections (C/S) in Nigeria come from tertiary hospitals. The aim of this study is to make input from the private sector. The objective is to determine the outcome of C/S in a private hospital in Nigeria.

Methodology:This is a retrospective study of deliveries in a private hospital from January 1, 2019,to December 31, 2020. Data analysis was done with SPSS version 20. Z test and 2 were used to summarize characteristics of variables and C/S rate. Values with P < 0.05 are taken as significant.

Results:There were 381 deliveries in 2019, and 30 (7.87%) were by C/S. In 2020 there were 410 deliveries, 56 (13.66%) were by C/S and the rise is significant, p = 0.008. The overall C/S rate was 10.87%. Mothers’ mean age was 30.58 years, standard deviation (SD) 5.28, range of 20 to 48 years. The commonest indication for C/S was prolonged labour followed by obstructed labour and two or more previous C/S. There was one maternal death with a case fatality rate of 1.16%and five foetallosses. The commonestpostoperative complication was wound sepsis whichoccurred in four cases, 4.7%. There is no difference in outcomes of elective and emergency C/S, p = 0.366.

Conclusion: C/S rate is within WHO recommendation. Most C/S come as an emergency. The outcomeof C/S is good. There is no difference in the outcome of emergency C/S and elective ones.