Cesarean section rate and outcomes during and before the first wave of COVID-19 pandemic
Objectives: The objective of the study was to assess how the current COVID-19 pandemic has affected cesarean section (C-section) rates, indications, and peripartum outcomes. Methods: This was a retrospective cross-sectional study that compared a 3-month rates of and indications for C-sections at thr...
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-03-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/20503121221085453 |
| _version_ | 1830229188046487552 |
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| author | George Uchenna Eleje Emmanuel Onyebuchi Ugwu Joseph Tochukwu Enebe Chukwuemeka Chukwubuikem Okoro Boniface Chukwuneme Okpala Nnanyelugo Chima Ezeora Emeka Ifeanyi Iloghalu Chidebe Christian Anikwe Chigozie Geoffrey Okafor Polycarp Uchenna Agu Emeka Philip Igbodike Iffiyeosuo Dennis Ake Kingsley Emeka Ekwuazi Arinze Anthony Onwuegbuna Osita Samuel Umeononihu Onyedika Promise Anaedu David Chibuike Ikwuka Henry Ifeanyi Nwaolisa Chukwuemeka Chidindu Njoku Chidinma Patricia Nwankwo Ekene Agatha Emeka Lydia Ijeoma Eleje Kenechi Miracle Adinnu Chinelo Onuegbuna Okoye Angela Ogechukwu Ugwu Ethel Oluchukwu Nwachukwu Sunday Gabriel Mba Eziamaka Pauline Ezenkwele Uchenna Elizabeth Okoye Chika Ifeoma Ofiaeli Golibe Christian Ikpeze Livinus Nnanyere Onah Odigonma Zinobia Ikpeze Toochukwu Benjamin Ejikeme Gerald Okanandu Udigwe Joseph Ifeanyichukwu Ikechebelu |
| author_facet | George Uchenna Eleje Emmanuel Onyebuchi Ugwu Joseph Tochukwu Enebe Chukwuemeka Chukwubuikem Okoro Boniface Chukwuneme Okpala Nnanyelugo Chima Ezeora Emeka Ifeanyi Iloghalu Chidebe Christian Anikwe Chigozie Geoffrey Okafor Polycarp Uchenna Agu Emeka Philip Igbodike Iffiyeosuo Dennis Ake Kingsley Emeka Ekwuazi Arinze Anthony Onwuegbuna Osita Samuel Umeononihu Onyedika Promise Anaedu David Chibuike Ikwuka Henry Ifeanyi Nwaolisa Chukwuemeka Chidindu Njoku Chidinma Patricia Nwankwo Ekene Agatha Emeka Lydia Ijeoma Eleje Kenechi Miracle Adinnu Chinelo Onuegbuna Okoye Angela Ogechukwu Ugwu Ethel Oluchukwu Nwachukwu Sunday Gabriel Mba Eziamaka Pauline Ezenkwele Uchenna Elizabeth Okoye Chika Ifeoma Ofiaeli Golibe Christian Ikpeze Livinus Nnanyere Onah Odigonma Zinobia Ikpeze Toochukwu Benjamin Ejikeme Gerald Okanandu Udigwe Joseph Ifeanyichukwu Ikechebelu |
| author_sort | George Uchenna Eleje |
| collection | DOAJ |
| description | Objectives: The objective of the study was to assess how the current COVID-19 pandemic has affected cesarean section (C-section) rates, indications, and peripartum outcomes. Methods: This was a retrospective cross-sectional study that compared a 3-month rates of and indications for C-sections at three tertiary health care institutions in Nigeria before (October 2019–December 2019) and during the first wave of COVID-19 pandemic (March 2020–May 2020). Primary outcomes were C-section rate and indications between the two periods. Data were analyzed using SPSS 26.0 IBM Corporation. Rates and odds ratios with 95% confidence intervals were used to quantify indications and peripartum outcomes and statistical significance was accepted when p value was <0.05. Results: The baseline characteristics of the two groups were similar. The C-section rate during the COVID-19 period was significantly less than the period prior to the pandemic (237/580, 40.0% vs 390/833, 46.8%; p = 0.027). The rates of postdatism (odds ratio = 1.47, 95% confidence interval = 1.05–2.05, p = 0.022), fetal distress (odds ratio = 3.06, 95% confidence interval = 1.55–6.06, p = 0.017), emergency C-section (odds ratio = 1.43, 95% confidence interval = 1.01–2.05, p = 0.042), and anemia (odds ratio = 1.84, 95% confidence interval = 1.12–3.03, p = 0.016) were significantly higher during the pandemic than prepandemic. Conclusion: The overall C-section rate during the first wave of COVID-19 was significantly lower than the prepandemic period. There were higher rates of postdatism, fetal distress, emergency C-section, and postpartum anemia. Further studies on this changing C-section trend during the pandemic are needed. |
| first_indexed | 2024-12-18T10:30:00Z |
| format | Article |
| id | doaj.art-e26e407a3b284c0786e282727e69fda8 |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-12-18T10:30:00Z |
| publishDate | 2022-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-e26e407a3b284c0786e282727e69fda82022-12-21T21:10:54ZengSAGE PublishingSAGE Open Medicine2050-31212022-03-011010.1177/20503121221085453Cesarean section rate and outcomes during and before the first wave of COVID-19 pandemicGeorge Uchenna Eleje0Emmanuel Onyebuchi Ugwu1Joseph Tochukwu Enebe2Chukwuemeka Chukwubuikem Okoro3Boniface Chukwuneme Okpala4Nnanyelugo Chima Ezeora5Emeka Ifeanyi Iloghalu6Chidebe Christian Anikwe7Chigozie Geoffrey Okafor8Polycarp Uchenna Agu9Emeka Philip Igbodike10Iffiyeosuo Dennis Ake11Kingsley Emeka Ekwuazi12Arinze Anthony Onwuegbuna13Osita Samuel Umeononihu14Onyedika Promise Anaedu15David Chibuike Ikwuka16Henry Ifeanyi Nwaolisa17Chukwuemeka Chidindu Njoku18Chidinma Patricia Nwankwo19Ekene Agatha Emeka20Lydia Ijeoma Eleje21Kenechi Miracle Adinnu22Chinelo Onuegbuna Okoye23Angela Ogechukwu Ugwu24Ethel Oluchukwu Nwachukwu25Sunday Gabriel Mba26Eziamaka Pauline Ezenkwele27Uchenna Elizabeth Okoye28Chika Ifeoma Ofiaeli29Golibe Christian Ikpeze30Livinus Nnanyere Onah31Odigonma Zinobia Ikpeze32Toochukwu Benjamin Ejikeme33Gerald Okanandu Udigwe34Joseph Ifeanyichukwu Ikechebelu35Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku, NigeriaDepartment of Obstetrics and Gynecology, ESUT Teaching Hospital, Enugu, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, ESUT Teaching Hospital, Enugu, NigeriaDepartment of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku, NigeriaDepartment of Obstetrics and Gynecology, Georges Hospital Memorial Medical Centre, Lagos, NigeriaClinical Trial Division, Drug Evaluation and Research Directorate, NAFDAC, Lagos, NigeriaDepartment of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku, NigeriaDepartment of Ophthalmology, Nnamdi Azikiwe University, Awka, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Human Physiology, Nnamdi Azikiwe University, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaEffective Care Research Unit, Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, NigeriaEffective Care Research Unit, Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, NigeriaDepartment of Family Medicine, Faculty of Medicine, Nnamdi Azikiwe University, Awka, NigeriaMeasurement, Evaluation and Research Unit, Department of Educational Foundations, Nnamdi Azikiwe University, Awka, NigeriaMedical Department, Clina-Lancet Laboratories, Lagos, NigeriaDepartment of Obstetrics and Gynecology, Lagos University Teaching Hospital, Lagos, NigeriaDepartment of Haematology and Immunology, College of Medicine, University of Nigeria, Enugu, NigeriaDepartment of Family Medicine, Faculty of Medicine, Nnamdi Azikiwe University, Awka, NigeriaDepartment of Obstetrics and Gynecology, ESUT Teaching Hospital, Enugu, NigeriaDepartment of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku, NigeriaDepartment of Obstetrics and Gynecology, National Hospital, Abuja, NigeriaDepartment of Family Medicine, Faculty of Medicine, Nnamdi Azikiwe University, Awka, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, ESUT Teaching Hospital, Enugu, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaObjectives: The objective of the study was to assess how the current COVID-19 pandemic has affected cesarean section (C-section) rates, indications, and peripartum outcomes. Methods: This was a retrospective cross-sectional study that compared a 3-month rates of and indications for C-sections at three tertiary health care institutions in Nigeria before (October 2019–December 2019) and during the first wave of COVID-19 pandemic (March 2020–May 2020). Primary outcomes were C-section rate and indications between the two periods. Data were analyzed using SPSS 26.0 IBM Corporation. Rates and odds ratios with 95% confidence intervals were used to quantify indications and peripartum outcomes and statistical significance was accepted when p value was <0.05. Results: The baseline characteristics of the two groups were similar. The C-section rate during the COVID-19 period was significantly less than the period prior to the pandemic (237/580, 40.0% vs 390/833, 46.8%; p = 0.027). The rates of postdatism (odds ratio = 1.47, 95% confidence interval = 1.05–2.05, p = 0.022), fetal distress (odds ratio = 3.06, 95% confidence interval = 1.55–6.06, p = 0.017), emergency C-section (odds ratio = 1.43, 95% confidence interval = 1.01–2.05, p = 0.042), and anemia (odds ratio = 1.84, 95% confidence interval = 1.12–3.03, p = 0.016) were significantly higher during the pandemic than prepandemic. Conclusion: The overall C-section rate during the first wave of COVID-19 was significantly lower than the prepandemic period. There were higher rates of postdatism, fetal distress, emergency C-section, and postpartum anemia. Further studies on this changing C-section trend during the pandemic are needed.https://doi.org/10.1177/20503121221085453 |
| spellingShingle | George Uchenna Eleje Emmanuel Onyebuchi Ugwu Joseph Tochukwu Enebe Chukwuemeka Chukwubuikem Okoro Boniface Chukwuneme Okpala Nnanyelugo Chima Ezeora Emeka Ifeanyi Iloghalu Chidebe Christian Anikwe Chigozie Geoffrey Okafor Polycarp Uchenna Agu Emeka Philip Igbodike Iffiyeosuo Dennis Ake Kingsley Emeka Ekwuazi Arinze Anthony Onwuegbuna Osita Samuel Umeononihu Onyedika Promise Anaedu David Chibuike Ikwuka Henry Ifeanyi Nwaolisa Chukwuemeka Chidindu Njoku Chidinma Patricia Nwankwo Ekene Agatha Emeka Lydia Ijeoma Eleje Kenechi Miracle Adinnu Chinelo Onuegbuna Okoye Angela Ogechukwu Ugwu Ethel Oluchukwu Nwachukwu Sunday Gabriel Mba Eziamaka Pauline Ezenkwele Uchenna Elizabeth Okoye Chika Ifeoma Ofiaeli Golibe Christian Ikpeze Livinus Nnanyere Onah Odigonma Zinobia Ikpeze Toochukwu Benjamin Ejikeme Gerald Okanandu Udigwe Joseph Ifeanyichukwu Ikechebelu Cesarean section rate and outcomes during and before the first wave of COVID-19 pandemic SAGE Open Medicine |
| title | Cesarean section rate and outcomes during and before the first wave of COVID-19 pandemic |
| title_full | Cesarean section rate and outcomes during and before the first wave of COVID-19 pandemic |
| title_fullStr | Cesarean section rate and outcomes during and before the first wave of COVID-19 pandemic |
| title_full_unstemmed | Cesarean section rate and outcomes during and before the first wave of COVID-19 pandemic |
| title_short | Cesarean section rate and outcomes during and before the first wave of COVID-19 pandemic |
| title_sort | cesarean section rate and outcomes during and before the first wave of covid 19 pandemic |
| url | https://doi.org/10.1177/20503121221085453 |
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