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Declining Rate of Operative Vaginal Deliveries in Nigeria

Open Journal of Obstetrics and Gynecology 2018年第3期8卷 175-184页

作者： Okechukwu Bonaventure Anozie lawani lucky osaheni Fidelis A. Onu Robinson Chukwudi Onoh Emeka Onwe Ogah Justus N. Eze Johnbosco E. Mamah Obiora G. Asiegbu Rita O. Anozie Department of Obstetrics & Gynaecology Federal Teaching Hospital Abakaliki Abakaliki Nigeria Department of Paediatrics Federal Teaching Hospital Abakaliki Abakaliki Nigeria Department of Obstetrics & Gynaecology Ebonyi State University Abakaliki Nigeria Department of Radiology Federal Teaching Hospital Abakaliki Abakaliki Nigeria

Background: The application of invasive obstetric procedures has an end point of reducing the Caesarean section rate. The declining rate of use of these procedures is one of the reasons for increasing Caesarean section rates in our environment. Objective: The aim of the study was to determine the practice of operative vaginal deliveries among obstetricians practicing in Nigeria and to evaluate the reasons for non-use of these procedures. Methodology: It was a questionnaire based study. The questionnaires were administered to practitioners of Obstetrics in the various centres in Nigeria. Data was collated and analyzed with Epi-Info statistical software version 7.0 (Center for Disease Control and Prevention, USA), and conclusions were drawn by means of descriptive statistics. Results: A total of 1200 questionnaire were distributed but 1104 were returned and used for analysis. This gave a response rate of 92%. The age distribution of the respondents showed that the 20 - 30 year age group had the least number of respondents 22 (2%) while 41 - 50 age group had the highest number of respondents 486 (4%). The majority of the respondents were males 839 (76%). In terms of duration of practice, 449 (40.7%) of the respondents had more than 6 years duration of practice while 256 (23.2) had practiced for less than 3 years. Tertiary centres had highest number of respondents 71.8%. The distribution of the respondents according to the geopolitical zones in Nigeria are;South-East (57.6%), South-South (19.6%), South West (11.4%), North-West (4.9%), North-East (3.8%), North-Central (2.7%). The practice of these procedures among respondents were: External cephalic version (68.0%), Symphysiotomy (41.7), Forceps delivery (68.8%), Destructive delivery (60.1%), Vaginal breech delivery (85.5%), Vacuum extraction (84.8%). Reasons for the non-use included: Risk of perinatal/maternal morbidity and mortality greater than benefit (25.7%), Lack of equipment (22.4%), Lack of skills (16.6%), Declin

关键词： Invasive Obstetric Procedures Decline Nigeria

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