| Title |
A 10-year appraisal of cesarean delivery and the associated fetal and maternal outcomes at a teaching hospital in southeast Nigeria
|
|---|---|
| Published in |
International Journal of Women's Health, May 2015
|
| DOI | 10.2147/ijwh.s81338 |
| Pubmed ID | |
| Authors |
Robinson Chukwudi Onoh, Justus Ndulue Eze, Paul Olisaemeka Ezeonu, Lucky Osaheni Lawani, Chukwuemeka Anthony Iyoke, Peter Onubiwe Nkwo |
| Abstract |
The global rise in cesarean delivery rate has been a major source of public health concern. To appraise the cesarean deliveries and the associated fetal and maternal outcomes. The study was a case series with data collected retrospectively from the records of patients delivered by cesarean section at the Ebonyi State University Teaching Hospital, Abakaliki over a 10-year period, from January 2002 to December 2011. Ethical approval was obtained. Of 14,198 deliveries, 2,323/14,198 (16.4%) were by cesarean deliveries. The overall increase of cesarean delivery was 11.1/10 (1.1%) per annum from 184/1,512 (12.2%) in 2002 to 230/986 (23.3%) in 2011. Of 2,097 case folders studied, 1,742/2,097 (83.1%) were delivered at term, and in 1,576/2,097 (75.2%), the cesarean deliveries were emergencies. The common indications for cesarean delivery were previous cesarean scars 417/2,097 (19.9%) and obstructed labor 331/2,097 (15.8%). There were 296 perinatal deaths, giving a perinatal mortality rate of (296/2,197) 134.7/1,000 births. Also, 129/2,097 (6.1%) maternal case fatalities occurred, giving a maternal mortality rate of 908.6/100,000 total births. Hemorrhage 57/129 (44.2%) and sepsis 41/129 (32.6%) were the major causes. The study recorded a significant increase in cesarean delivery rate. Previous cesarean scars and obstructed labors were the main indications. Perinatal and maternal case fatalities were huge. Hence, there is need for continued community education for its reduction. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 50% |
| Saudi Arabia | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 79 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 79 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Postgraduate | 16 | 20% |
| Student > Master | 9 | 11% |
| Researcher | 9 | 11% |
| Other | 7 | 9% |
| Lecturer | 4 | 5% |
| Other | 11 | 14% |
| Unknown | 23 | 29% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 36 | 46% |
| Social Sciences | 7 | 9% |
| Nursing and Health Professions | 5 | 6% |
| Psychology | 2 | 3% |
| Business, Management and Accounting | 1 | 1% |
| Other | 4 | 5% |
| Unknown | 24 | 30% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 April 2018.
All research outputs
#14,826,836
of 23,717,467 outputs
Outputs from International Journal of Women's Health
#445
of 814 outputs
Outputs of similar age
#141,310
of 265,469 outputs
Outputs of similar age from International Journal of Women's Health
#16
of 22 outputs
Altmetric has tracked 23,717,467 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 814 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.4. This one is in the 41st percentile – i.e., 41% of its peers scored the same or lower than it.
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We're also able to compare this research output to 22 others from the same source and published within six weeks on either side of this one. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.