Is Aversion to Caesarean Section Justified in Africa?

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Authors : Monisayo O. Komolafe, Johnson O. Komolafe, Ayobami M. Owolabi, Olayemi O. Ademakinwa

Abstract:

Caesarean section (CS) is still relatively not well accepted in Africa when compared to Western countries. Morbidity following CS especially inability to do things by oneself is a major deterrent to accepting CS. This study reviewed morbidity following CS & retrieve feedback on CS from clients.

A retrospective three year review of all CS done in an obstetric specialist unit was conducted. A cross sectional study was carried out using self-administered questionnaire to retrieve feedbacks from clients who have had CS done on them.

Caesarean section rate was 68.59%. Mean time to ambulation, taking of oral sips, commencement of breastfeeding was 24 hours while mean time to discharge was 71.7hours. 70% of the women had no regrets doing CS. About 50% would want some improvement in the process of CS especially the spinal anaesthesia. Morbidity following CS occurred in less than 20%.

Keywords: aversion, caesarean section, postoperative, morbidity

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