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Global Research Journal of Medical Sciences Vol. 3(1) pp.20 –24 , June 2013
Available online http://www.globalresearchjournals.org/journal/grjms
Copyright ©2013 Global Research Journals
Full Length Research
DEMOGRAPHIC AND OBSTETRIC DETERMINANTS OF EMERGENCY CAESAREAN SECTION AMONG WOMEN IN CALABAR, NIGERIA.
Dr. Emmanuel Columba INYANG-ETOH(FMCOG, FWACS)1, And Prof. Saturday Job ETUK (FMCOG, FWACS)2,
1Consultant/lecturer 1, Dept. of obstetrics and gynaecology, University of Uyo, Nigeria. P. O. Box 200
Ikot Ekpene,Akwa Ibom State,Nigeria
e-mail: emmacol2000@yahoo.com
2 Professor, Dept. of obstetrics and gynaecology, University of Calabar, Nigeria.
e-mail: imaetuks345@yahoo.com
1Corresponding Author’s: e-mail: emmacol2000@yahoo.com, Phone: 2347034038318, 2348033452822
| Abstract |
The rising incidence of emergency caesarean section in the tropics is a cause for concern among stakeholders. This study set out to assess the demographic and obstetric parameters of mothers who had emergency caesarean section performed on them in the centre studied. Proforma data sheet was used to obtain relevant information within 24hours postpartum from women who had emergency caesarean section during the study period. The prevalence of caesarean section in the centre was 23%, with emergency caesarean section accounting for 66.4% of caesarean deliveries performed during the study period. The modal (43.3%) age-group among women was 26-30 years and half of the women were multiparous, followed by primiparous women who accounted for 44.7%. More than half (58.7%) of the women who had emergency caesarean section were of height 150 to 159cm. The majority (60.0%) of the women in the study population had weight ranging from 70 to 89kg. A vast majority (79.3%) of the women had booked and received antenatal care in the centre. Most (80.0%) of the caesarean sections were performed at term and failure to progress in labour was the most common (60.0%) indication for emergency caesarean section among women in the study population. Emergency caesarean sections were more commonly performed among booked women who were multiparous, of relatively short stature and weighing less than 160kg. The majority of the emergency caesarean sections were performed at term with the most common indication being failure to progress in labour.
Key words: demographic, obstetric, determinants, emergency, caesarean section.