Demographic and obstetric determinants of caesarean section among patients in lth, Ogbomoso

Background: Public health concerns have heightened due to the increasing rate of caeserean section (CS). Aim:To identify demographic and obstetric determinants of CS in aTeaching Hospital. Material and Methods:The records of all cases of Caesarean delivery carried out in LAUTECH Teaching Hospital (LTH), Ogbomoso between January 2011 and December 2013 were retrieved. Data from the records were entered and subjected to simple descriptive statistical analysis using SPSS version 16, measures of association was carried out using chi-square and student t-test, all put at P value < 0.05. Results:A total of 1,097 deliveries were recorded for the period of the study. A total of 244 caesarean sections (CS) were performed during the period giving the CS rate of 22.2%. Majority 115(72%) of the patients had emergency caeserean section. The modal age –group among the women who undertook CS was 25 – 29 years. Most of the women who had CS were booked pregnant women 163(75.8%). Forty-four percent of the women with CS were primiparous. Cephalopelvic isproportion, previous CS, and fetal distress were the commonest indication for CS with 24.2%, 17.7% and 14.0%, respectively.Emergence CS was statically significant with being a single mother (P <0.001), body weight more than 70Kg (P = 0.026), primiparous (P< 0.001) and 1or 2previous CS (P<0.001). Conclusion: The rate of CS in this study can be compared to those obtainable in other parts of World. Previous CS and cephalopelvic disproportion were the most common indication for CS. Strategies to improve antenatal care and post natal care should be strengthened to reduce the risk and complications that could arise from CS.