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Primary elective cesarean section in Ibadan, Nigeria

J A Adeleye

    International Surgery
    |February 1, 1977
    PubMed
    Summary

    Primary elective cesarean sections in Nigeria showed low maternal and perinatal morbidity and no deaths in a study of 44 cases. Discriminant use can reduce difficult labor risks.

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    Area of Science:

    • Obstetrics and Gynecology
    • Public Health

    Background:

    • Cesarean section rates are rising globally.
    • Understanding the role of primary elective cesarean sections (PECS) is crucial for modern obstetric practice, particularly in developing countries like Nigeria.
    • Limited data exists on the safety and efficacy of PECS in the Nigerian context.

    Purpose of the Study:

    • To analyze the outcomes of primary elective cesarean sections (PECS) at University College Hospital, Ibadan.
    • To determine the place of PECS in modern obstetric practice in Nigeria.
    • To assess maternal and perinatal morbidity and mortality associated with PECS.

    Main Methods:

    • Retrospective analysis of case records of 44 patients who underwent primary elective cesarean section.
    • Data collection included maternal and perinatal outcomes, and complications.
    • Study conducted at University College Hospital, Ibadan, Nigeria.

    Main Results:

    • A total of 13,692 deliveries were reviewed, with 2,764 (22%) cesarean sections, including 63 (2.3%) primary elective sections.
    • Analysis of 44 PECS cases revealed no maternal deaths and low, non-serious maternal morbidity.
    • One perinatal death occurred, with low and less serious perinatal morbidity compared to maternal morbidity. No uterine scar ruptures were recorded in subsequent pregnancies.

    Conclusions:

    • Primary elective cesarean section, when used judiciously, can be a safe procedure with low maternal and perinatal risks in Nigeria.
    • PECS can potentially reduce difficult labor and associated mortality and morbidity in Nigeria and other developing countries.
    • Improved socioeconomic conditions and health education play a significant role in obstetric outcomes and the appropriate utilization of procedures like PECS.

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