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Trends in Elective Caesarean Section at the Jos University Teaching Hospital, Jos Nigeria

Received: 25 May 2016    Accepted: 22 July 2016    Published: 3 January 2017
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Abstract

Context: Elective caesarean sections have been considered safer for both mother and the foetus compared to emergency caesarean sections. Paradoxically emergency caesarean sections have continued to form majority of caesarean deliveries in our facility. Objective: The objective of this study was to determine the caesarean section rate, indications and trend associated with elective caesarean delivery. Study design: A retrospective study of the clinical records of all patients that had caesarean section between 1st January 2003 and 31st December 2007 at the Jos University Teaching Hospital, Jos. Data on the number and type of caesarean section and indication for the caesarean section was analysed using descriptive statistics. Results: During the 5 year study period, 2666 caesarean sections were performed out of 13,611 total deliveries giving a caesarean section rate of 19.6%. Elective and emergency caesarean sections accounted for 757 (28.4%) and 1909 (71.6%) of the cases respectively. The rate of elective caesarean section increased from 25.4% in 2003 to 26.5% in 2005 and 32.6% in 2007. Repeat caesarean section (24.7%), HIV in pregnancy (23.0%), bad obstetrics history (11.4%) were the leading indications for elective caesarean operation. Conclusion: The rising trend in the elective caesarean section rate as identified in this study strengthens the need for better patient selection together with improved counseling on its benefits and risks. This is because despite the fact that it is safer than emergency caesarean operation, it also has its own short-comings and complications.

Published in Science Journal of Clinical Medicine (Volume 5, Issue 6)
DOI 10.11648/j.sjcm.20160506.12
Page(s) 51-54
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Caesarean Section, Elective, Emergency, Trends, JUTH

References
[1] Barber E. L, Lundsberg L, Belanger K, Pettker C. M, Funai E. F, Illuzzi J. L Contributing indications to the rising caesarean delivery rate. Obstet Gynecol.2011 Jul; 118(1):29-38.
[2] Mutihir, J. T, Daru P. H, Ujah I. A. O Elective caesarean section at the Jos University Teaching Hospital. Trop J. ObstetGynaecol. 2005; 22(1): 39-41.
[3] Yakassai I. A, Abubakar M. Y Trends in elective caesarean section in Aminu Kano Teaching Hospital, Kano: a four(4) year review Global Advanced Research Journal of Medicine and Medical Science2014; 3(4): 080-083.
[4] Subhashini R, Uma N Changing Trends in Caesarean delivery. International Archives of Integrated Medicine2015; 2(3):96-102.
[5] Cesarean delivery on maternal request. Committee Opinion No. 559. American College of Obstetricians and Gynecologists. ObstetGynecol 2013:121; 904–7.
[6] Naldoo N, Moodley J Rising rates of caesarean sections:an audit of Caesarean Sections in a specialist private practice. SA FamPractise. 2005; 51(3): 254-258.
[7] Gonen R, Tamir A, Degani S. Obstetricians' opinions regarding patient choice in cesarean delivery. ObstetGynecol 2002; 99: 577.
[8] Paterson-Brown S. Should doctors perform an elective caesarean section on request? Yes, as long as the woman is fully informed. BMJ 1998; 317:462.
[9] Ecker J Elective caesarean delivery on maternal request. JAMA 2013 May 8; 309(18): 1930-6.
[10] Nwobodo E. I, Isah AY, Panti A Elective caesarean section in a tertiary hospital in Sokoto, north western Nigeria. Niger med J.2011 oct; 52(4): 263-5.
[11] Ugwu E. O, Obioha K. C, Okezie O. A, Ugwu A. O A five year survey of caesarean delivery at a Nigerian tertiary hospital. Ann Med Health Sci Res 2011 Jan; 1(1): 77-83.
[12] Okonofua F. E, Makinde O. N, Ayangade S. O. Yearly trends in caesarean section and caesarean mortality at Ile-Ife, Nigeria Trop J ObstetGynaecol 1988; 1: 31-35.
[13] Gurol-uganci I, Cromwell DA, Edozien LC, Onwere C, Mahmood TA,Van der Meulen JH The timing of elective caesarean delivery between 2000-2009 in England. BMC Pregnancy Childbirth 2011 Jun 8; 11: 43. doi:10:1186/1471-2393-11-43.
[14] Geidam AD, Audu BM, Kawuwa BM, Obed JY Rising trend and indications of caesarean section at the University of Maiduguri Teaching Hospital,Nigeria. Ann Afr Med 2009Apr-Jun;8(2):127-32.
[15] Bukar M,Audu BM,Massa AA Caesarean delivery at the Federal Medical Centre Gombe:a 3-year experience. Niger J Med 2009 Apr-Jun; 18(2):179-83.
[16] Igberase GO, Ebeigbe PN, Andrew B High Caesarean section rate: a ten year experience in a tertiary hospital in the Niger Delta,Nigeria. Niger J ClinPract 2009 Sep; 12(3):294-7.
[17] Chigbu C. O, Ezeome I. V, Iloabachie G. C. Caesarean section on request in a developing country. Int J. GynaecolObstet 2007; 96(1): 54-6.
[18] Okezie A. O, Oyefara B, Chigbu C. O. A 4 year analysis of caesarean delivery in a Nigerian teaching hospital. One quarter of babies born surgically J. ObstetGynaecol. 2007; 27(5): 470-4.
[19] Swende T. Z, Agida E. T, Jogo A. A Elective caesarean section at the Federal Medical Centre Makurdi, North Central Nigeria. Nig J. Med 2007; 16(4): 372-374.
[20] Menacker F, Declercq E, Macdorman MF. Caesarean delivery: background trends and epidemiology. Seminperinatol. 2006; 30(5): 235-41.
[21] Sagay A. S, Kapiga S. H, Imade G. E, Sankale J. L, Idoko J, Kanki,P. HIV infection among pregnant women in Nigeria. Int J. Gynaecol obstet 2005; 90(1): 61-7.
[22] Chama C, Gashua W, Oguche S. The value of highly active antiretroviral therapy in the prevention of mother-to-child transmission of HIV. J ObstetGynaecol. 2007; 27(2):134-7.
[23] Tukur J, Galadanci H, Adeleke S. I, Mukhtar–Yola M Outcome of delivery among HIV positive mothers at Aminu Kano Teaching Hospital, Kano Niger J Med. 2007; 16(1): 34-7.
[24] Ashimi A, Amole T, Aliyu L. Knowledge and attitude of pregnant women to caesarean section in a semi-urban community in northwest Nigeria. J West Afr Col Surg.2013 Apr; 3(2):46-61.
[25] Oboro V. O, Dare F. O Pregnancy outcome in nulliparous women aged 35 or older. West Afr J Med. 2006; 25(1):65-8.
Cite This Article
  • APA Style

    Anyaka Charles, Ocheke Amaka, Shambe Iornum, Egbodo Christopher, Pam Victor, et al. (2017). Trends in Elective Caesarean Section at the Jos University Teaching Hospital, Jos Nigeria. Science Journal of Clinical Medicine, 5(6), 51-54. https://doi.org/10.11648/j.sjcm.20160506.12

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    ACS Style

    Anyaka Charles; Ocheke Amaka; Shambe Iornum; Egbodo Christopher; Pam Victor, et al. Trends in Elective Caesarean Section at the Jos University Teaching Hospital, Jos Nigeria. Sci. J. Clin. Med. 2017, 5(6), 51-54. doi: 10.11648/j.sjcm.20160506.12

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    AMA Style

    Anyaka Charles, Ocheke Amaka, Shambe Iornum, Egbodo Christopher, Pam Victor, et al. Trends in Elective Caesarean Section at the Jos University Teaching Hospital, Jos Nigeria. Sci J Clin Med. 2017;5(6):51-54. doi: 10.11648/j.sjcm.20160506.12

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  • @article{10.11648/j.sjcm.20160506.12,
      author = {Anyaka Charles and Ocheke Amaka and Shambe Iornum and Egbodo Christopher and Pam Victor and Karshima Jonathan and Daru Patrick},
      title = {Trends in Elective Caesarean Section at the Jos University Teaching Hospital, Jos Nigeria},
      journal = {Science Journal of Clinical Medicine},
      volume = {5},
      number = {6},
      pages = {51-54},
      doi = {10.11648/j.sjcm.20160506.12},
      url = {https://doi.org/10.11648/j.sjcm.20160506.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20160506.12},
      abstract = {Context: Elective caesarean sections have been considered safer for both mother and the foetus compared to emergency caesarean sections. Paradoxically emergency caesarean sections have continued to form majority of caesarean deliveries in our facility. Objective: The objective of this study was to determine the caesarean section rate, indications and trend associated with elective caesarean delivery. Study design: A retrospective study of the clinical records of all patients that had caesarean section between 1st January 2003 and 31st December 2007 at the Jos University Teaching Hospital, Jos. Data on the number and type of caesarean section and indication for the caesarean section was analysed using descriptive statistics. Results: During the 5 year study period, 2666 caesarean sections were performed out of 13,611 total deliveries giving a caesarean section rate of 19.6%. Elective and emergency caesarean sections accounted for 757 (28.4%) and 1909 (71.6%) of the cases respectively. The rate of elective caesarean section increased from 25.4% in 2003 to 26.5% in 2005 and 32.6% in 2007. Repeat caesarean section (24.7%), HIV in pregnancy (23.0%), bad obstetrics history (11.4%) were the leading indications for elective caesarean operation. Conclusion: The rising trend in the elective caesarean section rate as identified in this study strengthens the need for better patient selection together with improved counseling on its benefits and risks. This is because despite the fact that it is safer than emergency caesarean operation, it also has its own short-comings and complications.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Trends in Elective Caesarean Section at the Jos University Teaching Hospital, Jos Nigeria
    AU  - Anyaka Charles
    AU  - Ocheke Amaka
    AU  - Shambe Iornum
    AU  - Egbodo Christopher
    AU  - Pam Victor
    AU  - Karshima Jonathan
    AU  - Daru Patrick
    Y1  - 2017/01/03
    PY  - 2017
    N1  - https://doi.org/10.11648/j.sjcm.20160506.12
    DO  - 10.11648/j.sjcm.20160506.12
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
    SP  - 51
    EP  - 54
    PB  - Science Publishing Group
    SN  - 2327-2732
    UR  - https://doi.org/10.11648/j.sjcm.20160506.12
    AB  - Context: Elective caesarean sections have been considered safer for both mother and the foetus compared to emergency caesarean sections. Paradoxically emergency caesarean sections have continued to form majority of caesarean deliveries in our facility. Objective: The objective of this study was to determine the caesarean section rate, indications and trend associated with elective caesarean delivery. Study design: A retrospective study of the clinical records of all patients that had caesarean section between 1st January 2003 and 31st December 2007 at the Jos University Teaching Hospital, Jos. Data on the number and type of caesarean section and indication for the caesarean section was analysed using descriptive statistics. Results: During the 5 year study period, 2666 caesarean sections were performed out of 13,611 total deliveries giving a caesarean section rate of 19.6%. Elective and emergency caesarean sections accounted for 757 (28.4%) and 1909 (71.6%) of the cases respectively. The rate of elective caesarean section increased from 25.4% in 2003 to 26.5% in 2005 and 32.6% in 2007. Repeat caesarean section (24.7%), HIV in pregnancy (23.0%), bad obstetrics history (11.4%) were the leading indications for elective caesarean operation. Conclusion: The rising trend in the elective caesarean section rate as identified in this study strengthens the need for better patient selection together with improved counseling on its benefits and risks. This is because despite the fact that it is safer than emergency caesarean operation, it also has its own short-comings and complications.
    VL  - 5
    IS  - 6
    ER  - 

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Author Information
  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

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