African Health Sciences
Makerere University Medical School
Vol. 18, No. 1, 2018, pp. 157-165
Bioline Code: hs18020
Full paper language: English
Document type: Study
Document available free of charge
African Health Sciences, Vol. 18, No. 1, 2018, pp. 157-165
© Copyright 2018 - African Health Sciences
Outcome of caesarean section at the Edward Francis Small Teaching Hospital, Banjul The Gambia|
Idoko, Patrick & Anyanwu, Matthew
Background: Caesarean section is a very important procedure to decrease maternal and perinatal morbidity and mortality.
Anecdotal evidence suggests that more than half of all caesarean sections done in The Gambia are done at the Edward Francis
Small Teaching Hospital.
Objective: The aim of the study was to determine the caesarean section rate at the Edward Francis Small teaching Hospital. The
study also aimed to determine the socio-demographic factors associated with caesarean section and maternal and fetal outcomes
of caesarean section at the hospital.
Method: A retrospective review of all caesarean sections carried out at the Edward Francis Small Teaching Hospital from 1st
January 2014 to 31st December 2014 was done. Data was extracted from patients’ record. Descriptive statistics was done using
Epi Info 7 statistical software.
Results: The Caesarean section rate in the hospital is 24.0%. The commonest indications for caesarean section were previous
caesarean section (20.6%) and cephalopelvic disproportion (20.2%). There were 21 maternal deaths (1.8%) and 71 fresh stillbirths
(6.0%) in the study population.
Conclusion: About a quarter of all deliveries in the hospital were caesarean sections most of which were done as emergencies.
The commonest indications for caesarean section were cephalopelvic disproportion and previous caesarean section.
Caesarean section; Banjul The Gambia.