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Tertiary hospital staff and caesarean section risk
O T Oladapo1, O Ayoola-Sotubo, O J Daniel
1Maternal and Fetal Health Research Unit, Department of Obstetrics and Gynaecology, Olabisi Onabanjo University Teaching Hospital, Ogun State, Nigeria. tixon_y2k@hotmail.com
Summary
Pregnant hospital staff in Nigeria face a nearly twofold increased risk of caesarean delivery compared to vaginal birth. This finding highlights a need to evaluate staff-specific risks in teaching hospitals.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Healthcare Management
Background:
- Caesarean section rates are a significant concern in maternal healthcare globally.
- Understanding risk factors for caesarean delivery is crucial for optimizing obstetric outcomes.
- Previous studies have not specifically assessed the risk among healthcare workers in Nigerian teaching hospitals.
Purpose of the Study:
- To investigate whether pregnant employees of a Nigerian teaching hospital have a higher risk of caesarean delivery compared to vaginal delivery.
- To identify potential occupational risks associated with caesarean section among hospital staff.
Main Methods:
- A matched case-control study design was employed.
- Cases (n=167) were patients with emergency caesarean delivery; controls (n=167) had vaginal delivery, matched for clinical risk factors.
- Statistical analyses included Mantel-Haenszel odds ratio and multivariate conditional logistic regression.
Main Results:
- Hospital staff had a significantly higher proportion of caesarean deliveries (21.6%) compared to non-staff (12.6%) (p=0.03).
- Matched analysis revealed hospital staff had an odds ratio of 1.83 for caesarean section versus vaginal delivery.
- Multivariate analysis, controlling for confounders, yielded an adjusted odds ratio of 1.79 for caesarean delivery among hospital personnel.
Conclusions:
- Pregnant healthcare workers in this Nigerian teaching hospital are at a significantly increased risk of undergoing caesarean section.
- Teaching hospitals in Southwest Nigeria should critically evaluate caesarean section rates among their staff.
- Further research into occupational factors influencing delivery mode among healthcare professionals is warranted.
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