Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria

Dorcas Salime Onuminya

doi:doi:10.11648/j.jgo.20221005.11

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Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria

Dorcas Salime Onuminya

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 5)

Received: 1 August 2022 Accepted: 16 August 2022 Published: 5 September 2022

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Abstract

Primary caesarean delivery rate is on the increase among primigravida. The indications and rate of cesarean delivery varies among hospitals, but the outcome is good for both mother and baby with early diagnosis and intervention. The aim of the study was to asses indications and rate of cesarean delivery in primigravida in Kogi State Specialist, Hospital, Lokoja, Nigeria. The study was a prospective evaluation of the demographic characteristics of patients, types of cesarean delivery, indications, rate and outcome of cesarean delivery in primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria between December 15, 2020 and December 14, 2021. Data collected were analysed using SPSS window version 20.0 statistical package. A total of 491 deliveries were recorded, out of these 113/491 (23.01%) cesarean deliveries were performed. The rate of cesarean deliveries in primigravida was 36/113 (31.9%), obstructed labour 18/36 (50.0%) was the commonest indication for cesarean delivery in primigravida and 30/36 (83.3%) of cesarean delivery in primigravida had no complication. The rate of cesarean delivery in primigravida due to obstructed labour in this study is high, however the early outcome is good and safe for both maternal and fetal health. Cesarean delivery therefore remains one of the means for reducing maternal and perinatal morbidity and mortality in Nigeria especially among the primigravida where decision making for primary cesarean delivery has a far reaching consequences in the productive health of women. It will be nice if future study will look at ways to prevent the prevalence of cephalopelvic disproportion, a Feto-Maternal problem common among our primigravida.

Published in	Journal of Gynecology and Obstetrics (Volume 10, Issue 5)
DOI	10.11648/j.jgo.20221005.11
Page(s)	217-220
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

Cesarean Delivery, Primigravida, Indications, Rate, Outcome, Lokoja, Nigeria

References

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[2]	Pregnancy labour and Birth ‘(https://www.womenshealth.gov/pregnancy/child-birth). Office on womens Health, US. Department of Health and Human services 1. February 2017. Archived (https://web.Archive.org/web/20170728021055/https//www.womenshealth.gov.pregnancy/childbirth-andbeyond/labour-and birth) from the original on 28 July 2017. Retried 15 July 2017.
[3]	Pennal L, Arulkumara S, Cesarean section for non-medical reasons. Int.j. Gyneacol Obstet 2003; 82: 399-409.
[4]	Royal College of Obstetricians and Gynaecologists. Clinical effectiveness support unit. The National Sentinel cs Audit Report. London: RCOG press, 2001: 49-53.
[5]	Silver RM, Implications of the first caesarean, perinatal and future reproductive health and subsequent Cesearean, placentation issues, uterine rupture risk, morbidity, and mortality. Semin perinatal 2012, 36: 315-523.
[6]	Kozhimanil KB, Arcaya MC, Maternal clinic diagnosis and hospital variation in the risk of Cesarean delivery: analysis of a National us Hospital Discharge Database. PLos Med 2014; 11 (10): c1001745.
[7]	American Congress of Obstetricians and Gynaecologists ‘Five things physcians and patients should question’ (https://wwwchoosingwisely.org/doctor-patients–lists/ American-college of Obstetricians and Gynaecologists), choosing wisely: an initiative of the ABIM Foundation. American Congress of Obstetricians and Gynaecologists, archived 9 HTTPS://web.archiveorg/web/20130901094916/http//wwwchoosingwisely.org.doctor-patient-lists/ American-college of Obstetricians and Gynaecologists. From the original on September 1, 2013 retrieved August 1, 2013.
[8]	Lowe NK, The overuse of caesarean section delivery. J. Obstet Gynaecol Neonate Nurs 2013, 42: 135-136.
[9]	Belay T, Yusuf L,. A comparative study on on first stage versus second stage caesarean section on maternal and perinatal outcome. Ethiopia Med. J. 2014; 52 (1): 1-8.
[10]	Rady H. A. Cesarean section rate and indications in Primigravida in El Shatby Hospital. Alexandria, Egypt. J South Asian Feder Obst Gynae 2018; 10 (supply 3): 482-383.
[11]	Martins JA, Hamilton BE, Birth Final data for 2006. National vital stat. 2009; 58 (24): 1-85.
[12]	Adewuyi E. O., Auta A., Khanal V., Tapshak S. J. Zahao Y. Cesarean delivery in Nigeria: prevalence and associated factors - a popation - based cross-sectional study. BMJ Open. 2019; 9: e027273. doi: 10.1136/bmjopen-2018-027273.
[13]	Adekanle D. A., Adeyemi A. S., Fasamu A. O. Cesarean section at a tertiary institution in south-western Nigeria: a 6-year audits. Open Journal of Obstetrics and Gynaecology. 2013; 3: 357-361.
[14]	Berglundh S., Benova L., Olisaekee G. Hobson C. Cesarean section rate in Nigeria between 2013 and 2018 by Obstetric risk and socio - economic status. Tropical Medicine and International Health. 2021; 26 (7): 775-788 https://doi.org/10.1111/tmi.13579
[15]	Bosede Olanike Awoyemi. The rate and cost of caesarean section among women in Ado-Ekiti, Nigeria. Health Econ Outcome Res Open access. 2020; 6 (3): 001-005.

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APA Style

Dorcas Salime Onuminya. (2022). Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria. Journal of Gynecology and Obstetrics, 10(5), 217-220. https://doi.org/10.11648/j.jgo.20221005.11

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ACS Style

Dorcas Salime Onuminya. Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria. J. Gynecol. Obstet. 2022, 10(5), 217-220. doi: 10.11648/j.jgo.20221005.11

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AMA Style

Dorcas Salime Onuminya. Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria. J Gynecol Obstet. 2022;10(5):217-220. doi: 10.11648/j.jgo.20221005.11

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@article{10.11648/j.jgo.20221005.11,
  author = {Dorcas Salime Onuminya},
  title = {Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {5},
  pages = {217-220},
  doi = {10.11648/j.jgo.20221005.11},
  url = {https://doi.org/10.11648/j.jgo.20221005.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221005.11},
  abstract = {Primary caesarean delivery rate is on the increase among primigravida. The indications and rate of cesarean delivery varies among hospitals, but the outcome is good for both mother and baby with early diagnosis and intervention. The aim of the study was to asses indications and rate of cesarean delivery in primigravida in Kogi State Specialist, Hospital, Lokoja, Nigeria. The study was a prospective evaluation of the demographic characteristics of patients, types of cesarean delivery, indications, rate and outcome of cesarean delivery in primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria between December 15, 2020 and December 14, 2021. Data collected were analysed using SPSS window version 20.0 statistical package. A total of 491 deliveries were recorded, out of these 113/491 (23.01%) cesarean deliveries were performed. The rate of cesarean deliveries in primigravida was 36/113 (31.9%), obstructed labour 18/36 (50.0%) was the commonest indication for cesarean delivery in primigravida and 30/36 (83.3%) of cesarean delivery in primigravida had no complication. The rate of cesarean delivery in primigravida due to obstructed labour in this study is high, however the early outcome is good and safe for both maternal and fetal health. Cesarean delivery therefore remains one of the means for reducing maternal and perinatal morbidity and mortality in Nigeria especially among the primigravida where decision making for primary cesarean delivery has a far reaching consequences in the productive health of women. It will be nice if future study will look at ways to prevent the prevalence of cephalopelvic disproportion, a Feto-Maternal problem common among our primigravida.},
 year = {2022}
}

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TY  - JOUR
T1  - Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria
AU  - Dorcas Salime Onuminya
Y1  - 2022/09/05
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N1  - https://doi.org/10.11648/j.jgo.20221005.11
DO  - 10.11648/j.jgo.20221005.11
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
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PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221005.11
AB  - Primary caesarean delivery rate is on the increase among primigravida. The indications and rate of cesarean delivery varies among hospitals, but the outcome is good for both mother and baby with early diagnosis and intervention. The aim of the study was to asses indications and rate of cesarean delivery in primigravida in Kogi State Specialist, Hospital, Lokoja, Nigeria. The study was a prospective evaluation of the demographic characteristics of patients, types of cesarean delivery, indications, rate and outcome of cesarean delivery in primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria between December 15, 2020 and December 14, 2021. Data collected were analysed using SPSS window version 20.0 statistical package. A total of 491 deliveries were recorded, out of these 113/491 (23.01%) cesarean deliveries were performed. The rate of cesarean deliveries in primigravida was 36/113 (31.9%), obstructed labour 18/36 (50.0%) was the commonest indication for cesarean delivery in primigravida and 30/36 (83.3%) of cesarean delivery in primigravida had no complication. The rate of cesarean delivery in primigravida due to obstructed labour in this study is high, however the early outcome is good and safe for both maternal and fetal health. Cesarean delivery therefore remains one of the means for reducing maternal and perinatal morbidity and mortality in Nigeria especially among the primigravida where decision making for primary cesarean delivery has a far reaching consequences in the productive health of women. It will be nice if future study will look at ways to prevent the prevalence of cephalopelvic disproportion, a Feto-Maternal problem common among our primigravida.
VL  - 10
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Author Information

Dorcas Salime Onuminya

Department of Obstetrics and Gynaecology, Kogi State Specialist Hospital, Lokoja, Nigeria

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APA Style

Dorcas Salime Onuminya. (2022). Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria. Journal of Gynecology and Obstetrics, 10(5), 217-220. https://doi.org/10.11648/j.jgo.20221005.11

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ACS Style

Dorcas Salime Onuminya. Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria. J. Gynecol. Obstet. 2022, 10(5), 217-220. doi: 10.11648/j.jgo.20221005.11

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AMA Style

Dorcas Salime Onuminya. Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria. J Gynecol Obstet. 2022;10(5):217-220. doi: 10.11648/j.jgo.20221005.11

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@article{10.11648/j.jgo.20221005.11,
  author = {Dorcas Salime Onuminya},
  title = {Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {5},
  pages = {217-220},
  doi = {10.11648/j.jgo.20221005.11},
  url = {https://doi.org/10.11648/j.jgo.20221005.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221005.11},
  abstract = {Primary caesarean delivery rate is on the increase among primigravida. The indications and rate of cesarean delivery varies among hospitals, but the outcome is good for both mother and baby with early diagnosis and intervention. The aim of the study was to asses indications and rate of cesarean delivery in primigravida in Kogi State Specialist, Hospital, Lokoja, Nigeria. The study was a prospective evaluation of the demographic characteristics of patients, types of cesarean delivery, indications, rate and outcome of cesarean delivery in primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria between December 15, 2020 and December 14, 2021. Data collected were analysed using SPSS window version 20.0 statistical package. A total of 491 deliveries were recorded, out of these 113/491 (23.01%) cesarean deliveries were performed. The rate of cesarean deliveries in primigravida was 36/113 (31.9%), obstructed labour 18/36 (50.0%) was the commonest indication for cesarean delivery in primigravida and 30/36 (83.3%) of cesarean delivery in primigravida had no complication. The rate of cesarean delivery in primigravida due to obstructed labour in this study is high, however the early outcome is good and safe for both maternal and fetal health. Cesarean delivery therefore remains one of the means for reducing maternal and perinatal morbidity and mortality in Nigeria especially among the primigravida where decision making for primary cesarean delivery has a far reaching consequences in the productive health of women. It will be nice if future study will look at ways to prevent the prevalence of cephalopelvic disproportion, a Feto-Maternal problem common among our primigravida.},
 year = {2022}
}

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TY  - JOUR
T1  - Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria
AU  - Dorcas Salime Onuminya
Y1  - 2022/09/05
PY  - 2022
N1  - https://doi.org/10.11648/j.jgo.20221005.11
DO  - 10.11648/j.jgo.20221005.11
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 217
EP  - 220
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221005.11
AB  - Primary caesarean delivery rate is on the increase among primigravida. The indications and rate of cesarean delivery varies among hospitals, but the outcome is good for both mother and baby with early diagnosis and intervention. The aim of the study was to asses indications and rate of cesarean delivery in primigravida in Kogi State Specialist, Hospital, Lokoja, Nigeria. The study was a prospective evaluation of the demographic characteristics of patients, types of cesarean delivery, indications, rate and outcome of cesarean delivery in primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria between December 15, 2020 and December 14, 2021. Data collected were analysed using SPSS window version 20.0 statistical package. A total of 491 deliveries were recorded, out of these 113/491 (23.01%) cesarean deliveries were performed. The rate of cesarean deliveries in primigravida was 36/113 (31.9%), obstructed labour 18/36 (50.0%) was the commonest indication for cesarean delivery in primigravida and 30/36 (83.3%) of cesarean delivery in primigravida had no complication. The rate of cesarean delivery in primigravida due to obstructed labour in this study is high, however the early outcome is good and safe for both maternal and fetal health. Cesarean delivery therefore remains one of the means for reducing maternal and perinatal morbidity and mortality in Nigeria especially among the primigravida where decision making for primary cesarean delivery has a far reaching consequences in the productive health of women. It will be nice if future study will look at ways to prevent the prevalence of cephalopelvic disproportion, a Feto-Maternal problem common among our primigravida.
VL  - 10
IS  - 5
ER  -

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