Rising trend and indications of caesarean section at the university of Maiduguri teaching hospital, Nigeria

摘要: Objective: To determine the trend and indications for use of caesarean delivery in our environment. Method: A retrospective review sections performed at University Maiduguri Teaching Hospital from January 2000 to December 2005 inclusive. Results: During study period, there were 10,097 deliveries 1192 giving a section rate 11.8%. The major maternal cephalopelvic disproportion (15.5%), previous (14.7%), eclampsia (7.2%), failed induction labor (5.5%), placenta previa (5.1%). Fetal distress (9.6%), breech presentation (4.7%), fetal macrosomia (4.3%), pregnancy complicated by multiple fetuses (4.2%) indications. showed steady increase over years (7.20% 2000-13.95% 2005), but yearly analysis demographic characteristics, type section, did not reveal any consistent changes account rising except increasing frequency as an indication years, which was also statistically signifi cant (χ [2] =8.08; P=0.12). overall perinatal mortality population found be 72.7/1000 birth despite outcomes improve years. Conclusion: Trial vaginal after appropriate cases cardiotocography continuous heart monitoring with confi rmation suspected through blood acid--base are recommended. prospective may some other reasons rate.