Retrospective Review of Caesarean Delivery in a Tertiary Hospital in Jigawa, North-west Nigeria

Abstract

Background: Caesarean section is the most common obstetric surgical procedure. Although the advancement in asepsis and anaesthesia has made the procedure safer, still adverse events do occur in the setting of Caesarean section.

Objective: This study aimed to determine the rate and outcome of Caesarean sections.

Materials and methods: The study was a 3-year retrospective review of Caesarean sections carried out between 1st July 2020 and 31st June 2023 in the department of Obstetrics and Gynecology of Rasheed Shekoni Federal University Teaching hospital Dutse. The case files of the participants were retrieved from the record department. Data analysis was carried out using IBM statistical package for social sciences (SPSS) version 26. Measured variables were expressed in frequencies and percentages. Test for association was done using chi-square non-parametric test, setting level of significance at P <0.05.

Results: A total of 376 Caesarean sections were performed out of a total 2,483 deliveries, giving a Caesarean section rate of 15.3%. The mean age of the women was 28.51± 5 years. The mean parity was 4.46± 2.7. Majority (94.76%) of the women had EBL of ≤ 1000mls and the mean unit of blood transfused was 0.65± 0.9 units. Most (87.7%) of the babies delivered had 5th Apgar score of ≥ 7.

Conclusion: The Caesarean section rate in this study is close to the rate recommended by WHO, however the repeat Caesarean section rate is high