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A Review of caesarean delivery at the Kogi State Specialist Hospital, Lokoja, Nigeria

Open Journal of Obstetrics and Gynecology 2023年第4期13卷 728-736页

作者： Dorcas Salime Onuminya Kogi State Specialist Hospital Lokoja Nigeria

Background: caesarean delivery rate is increasing globally including in Nigeria. caesarean delivery is a life-saving surgery for both mother and child. Objective: The aim of the study was to assess the caesarean delivery rate at the Kogi State Specialist Hospital, Lokoja, Nigeria over a one-year period. Methods: This was a prospective assessment of the demographic characteristics of patients, indications, types, rates and outcomes of caesarean delivery in Kogi State Specialist Hospital, Lokoja, Nigeria from December 15, 2020 to December 14, 2021. Data collected were analyzed using SPSS version 20.0 statistical package (IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp). The categorical data were displayed using tables and charts. Results: There was a total of 491 deliveries, out of which were 113 caesarean deliveries and 378 spontaneous vaginal deliveries making the caesarean delivery rate in Kogi State Specialist Hospital, Lokoja, Nigeria 23.0%. There were no instrumental deliveries during the study period. The commonest indication for caesarean section was obstructed labour in 31% of cases. There was no maternal mortality. There were three early neonatal deaths due to severe birth asphyxia. Conclusion: The rate of caesarean delivery in this study was 23.0% and obstructed labour was the leading indication in 31% of cases. The rate of caesarean delivery in this study is high, albeit the overall outcome was good for both mother and child. caesarean delivery, therefore, remains one of the means for reducing maternal and perinatal morbidity and mortality in Nigeria.

关键词： caesarean delivery Indications Maternal Morbidity Mortality Outcomes Nigeria Perinatal

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Effect of the new maternity insurance scheme on medical expenditures for caesarean delivery in Wuxi, China： a retrospective pre/post-reform case study

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Frontiers of Medicine 2016年第4期10卷 473-480页

作者： Chun Chen Zhihong Cheng Ping Jiang Mei Sun Qi Zhang Jun Lv School of Public Health and Management Wenzhou Medical University Wenzhou 325035 China Research Institute of Health Development Strategies Fudan University Shanghai 200032 China Affiliated Hospital Jiangnan University Wuxi 214062 China School of Community and Environmental Health Old Dominion University Norfolk VA 23529 USA

Aiming to control rising medical expenditures and help improve China＇s healthcare systems, this study examined whether a cap-based medical insurance scheme with shared financial interest between the insurance and healthcare providers is effective in containing hospitals＇ C-section medical expenditures. We used 6547 caesarean delivery case records from a teaching tertiary-level general public hospital located in Wuxi, China （2004-2013）, and used the Chow test to investigate the possibility of significant variation in mean medical expenditures for caesarean deliveries pre- and post-reform. We also used paired sample t-tests and linear regression models to compare the mean medical expenditures between insured and uninsured women undergoing caesarean delivery during the post-reform period. After the scheme＇s implementation, medical expenditures for caesarean deliveries declined and the medical expenditures of women covered by the scheme were significantly lower than those of uninsured patients. These findings indicated the scheme＇s effectiveness in minimizing caesarean delivery expenditures. The cap-based medical insurance scheme with shared financial interest between insurance and healthcare providers would likely steer healtbcare providers＇ behaviors in a more cost-effective direction.

关键词： matemity insurance scheme financial incentive caesarean delivery medical expenditure China

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A woman by successful IVF and caesarean delivery without complications in autosomal dominant centronuclear myopathy

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中西医结合护理（中英文） 2020年第8期6卷 343-345页

作者： LI Shenmei LI Yuan TANG Meiqiong DAI Yunyun GAO Yan School of Nursing Guilin Medical University GuilinGuangxi541004

Autosomal-dominant centronuclear myopathy is a rare hereditary disease in adolescents,mainly involving the distal muscles of the lower *** is extremely rare in *** study presented a case of a woman by successful IVF and caesarean delivery without complications in autosomal dominant centronuclear *** report also reviewed the clinical spectrum of CNM and its management,which resulted in the delivery of a healthy *** is important that the clinician has a clear understanding of the clinical spectrum of CNM,the available methods for perinatal diagnosis,and optimal antenatal care.A multidisciplinary team approach is emphasized,with specific reference to the method of analgesia and anesthesia during labor and route of delivery.

关键词： autosomal dominant centronuclear myopathy pregnancy woman vitro fertilization and embryo transfer caesarean delivery

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