Outcome of Caesarean Delivery in Adeoyo Maternity Teaching Hospital Ibadan

Abstract

Background:
Caesarean section is the second commonest surgical procedure performed in obstetrics after episiotomy and it is being performed with increasing frequency and safety. However, the procedure is not without complications. Objectives: To determine the caesarean section rate and describe the complications associated with caesarean sections in Adeoyo Maternity Teaching Hospital. Methods: this is a retrospective study of the caesarean sections performed in Adeoyo Maternity Teaching Hospital, Ibadan, from January 2012 to December 2016. Results: During the study period, there were 17,339 deliveries and 1306 caesarean sections, giving a caesarean section rate of 7.5%. Nine hundred and forty-five (945) case files were available for analysis. The major indications were previous caesarean section (26.1%), cephalo-pelvic disproportion (15.7%) and malpresentation (11.0%). There were maternal complications in 167(17.7%) of cases and fetal complications in 177(18.7%) of cases. Complications were more common among the unbooked cases. There were 4(0.4%) maternal deaths, giving a Maternal Mortality Ratio of 434/100,000 livebirth. Also, there were 24(2.5%) stillbirths and 12(1.3%) early neonatal deaths; the perinatal mortality rate was 38.1 per 1000 births. Postpartum haemorrhage requiring blood transfusion (11.7%) was the most common maternal complication while birth asphyxia (3.3%) was the most common fetal complication. Conclusion: There were more complications when patients were unbooked and when general anaesthesia was used.