Caesarean section is one of the commonest surgical procedures worldwide. Its
upward trend and associated morbidity/mortality especially in low-resource
setting makes regular appraisal of the practice necessary. Methodology: A
retrospective study. Labour ward logbook and case records were looked into, and
all information extracted. Results: Caesarean section rate was 35.5%, with an
upward trend. Perinatal death was still high. Main indication was previous caesarean section followed by obstructed labour while major maternal morbidity was wound sepsis. Identifiable
factors to perinatal death were multiparity, emergency caesarean section and
women that were referred to our health facility. Conclusion: Risk appraisal and
all efforts must be geared towards reducing caesarean section rate especially
in our environment where subsequent deliveries might not be attended to by
skilled health personnel.
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