NDLI: Trends of different forms of anaesthesia for caesarean section in South-eastern Nigeria.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Okafor, U. V. Ezegwui, H. U. Ekwazi, K.
Spatial Coverage	Nigeria
Description	Country affiliation: Nigeria Author Affiliation: Okafor UV ( Department of Anaesthesia, University of Nigeria Teaching Hospital, Enugu, Nigeria.)
Abstract	General anaesthesia is recognised as a cause of maternal mortality/morbidity in caesarean deliveries, and regional anaesthesia is believed to reduce anaesthesia-related maternal/fetal morbidity and mortality. The aim of this study is to present the trends of different forms of anaesthesia for caesarean section in Eastern Nigeria. We conducted a retrospective survey of hospital records of caesarean deliveries in this unit over a 4-year period from January 2003 to December 2006. There were 2,968 deliveries and 3,140 births (2,959 live births), with 729 women (24%) delivered by caesarean section. There was a yearly increase in the use of regional anaesthesia from 18% in 2003 to 48% in 2004 and 72.6% in 2005, but it fell to 71% in 2006. There were 59 stillbirths giving a stillbirth rate of 81/1,000 caesarean deliveries. The total number of stillbirths in the hospital during the study period was 179 giving a stillbirth rate of 60/1,000 deliveries. A total of 42 (71%) stillbirth deliveries were associated with general anaesthesia and 17 (29%) associated with spinal anaesthesia. Of the 32 neonates with an Apgar score of 3-5 at 5 min after birth, 21 (66%) delivered under general anaesthesia and 11 (34%) delivered under spinal anaesthesia. There were eight hysterectomies in patients with ruptured uterus, all under general anaesthesia. There was one maternal death in a patient who was delivered under general anaesthesia. The fetal loss in this study is high and may indicate that most data on stillbirths from parts of the developing world may be underestimates. In conclusion, in developing country such as Nigeria there is a changing trend towards the use of regional anaesthesia during caesarean section. Its use should be encouraged in the developing world, especially resource-poor environments because it is cheaper to provide.
File Format	HTM / HTML
ISSN	01443615
Issue Number	5
Volume Number	29
e-ISSN	13646893
Journal	Journal of Obstetrics and Gynaecology
Language	English
Publisher	Taylor & Francis
Publisher Date	2009-07-01
Publisher Place	Great Britain (UK)
Access Restriction	Subscribed
Subject Keyword	Humans Discipline Obstetrics Stillbirth Epidemiology Journal Article Pregnancy Cesarean Section Anesthesia Female Retrospective Studies Trends Discipline Gynaecology Nigeria
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in