Caesarean section at Usmanu Danfodiyo University Teaching Hospital: a cross sectional study

Introduction: Caesarean section remains the most common major operation performed on women worldwide and the rate is increasing.The World Health Organization (WHO) consider caesarean section rate of 5-15% to be optimum.Objective: To determine the rate of caesarean section, major indications, pregnancy out-come and the complications.Subjects and Methods:This is a prospective study of all the cases of caesarean sections performed between 1st of January,2012 and 31th of December,2013 at UDUTH,Sokoto-Nigeria.The data were collated and analyzed using statistical soft package ware for social sciences (SPSS) version 20.Results: A total of 4,115 deliveries were recorded during the study period and 435 of them (10.6%) were through caesarean section (CS). Emergency CS accounted for 65.1% of caesarean deliveries.The mean age was 28±6 years. Previous CS was the commonest indication for caesarean section (25.7%). Elective CS had better fetal outcome (t = 7.440,df =388.523,p < 0.001),while spinal anaesthesia was associated with less blood loss (t = 4.569, df=63.223 and p < 0.001) and better fetal outcome (t = 4.237, df = 57.224, p < 0.001).Anaemia (19.8%) was the commonest complications encountered in the post operative period.Conclusion: The CS rate from this study is within the WHO recommended rate. Previous CS was the commonest indication,the outcome was better among women that had elective CS under regional anaesthesia.Keywords: Caesarean section, CS rate, indication and outcom

Subdermal contraceptive implants - A 10 year experience in Sokoto north western Nigeria

Background: Contraceptive implants are long acting reversible hormonal contraceptives. They are one of the most effective modern family planning methods and they are available and well accepted. Objectives: The study wishes to report our experience with the implants especially regarding the sociodemographic characteristics of acceptors the side effect profile and the discontinuation rates since inception of the new Fertility Research Unit of UDUTH sokoto. Methods: A 10-year review of all the records of new clients from 1st January 2008 to 31st December 2017. The data extracted was analyzed using IBM SPSS version 23. Results: There were 5762 new acceptors of modern contraception during the study period out of which 3640(63.2%) chose the contraceptive implants. The modal age was 20 to 24 years (29.6%) and two thousand four hundred and forty-seven of them (67%) had at least secondary level of education. All the clients were married and an overwhelming majority (84.1%) of the clients were spacers. A third of clients (33.1%) had side effects. Principal among these was irregular vaginal bleeding (71%). Discontinuation rates were high (49%) and the main reason for this was the desire to conceive. Conclusion: The implants are the most popular methods of modern contraception in the fertility research unit of UDUTH Sokoto. Most clients were young, educated spacers of low parity. Most clients did not report side effects. Of those that did irregular vaginal bleeding was the most common. Discontinuation rats were high and the desire to conceive was the main reason for this