The Trend of Caesarean Delivery in a Tertiary Mission Hospital in Nigeria: A 5 Year Survey. CS trend in tertiary hospital Section Original Articles

Abstract

Background: Caesarean delivery (CS) is the commonest obstetric surgery worldwide. The rising rate in CS globally has been a source of concern. The aim of the study was to evaluate the incidence, indications, and outcomes of caesarean section at Bowen University Teaching Hospital (BUTH), Ogbomoso. Methods: A retrospective descriptive analysis of all the CS carried out at BUTH between 1st January, 2017 and 31^st December, 2021. The labor ward delivery and theatre operation register and mortality records were reviewed and data extracted. Results were presented using frequency tables and Chi-square test. Results: Out of 7,510 deliveries during the study period, 2,300 cases were by caesarean section, giving a CS rate of 30.6%. The rate was higher among booked patients 1680 (73.0%) and referred patients 1620 (70.4%). Previous scar was the commonest indication 460 (20.0%). There were 22 maternal deaths and 162 (6.6%) perinatal deaths. Conclusion: The rate of caesarean section has been increasing gradually and is associated with maternal and perinatal morbidity and mortality. There is need for education of the populace in order to reduce late presentation.