STUDY OF THE FREQUENCY AND STRUCTURE OF INDICATIONS FOR CESAREAN SECTION ACCORDING TO THE REPUBLICAN PERINATAL CENTER

Abstract

Objective is to study the frequency of cesarean section (CS) operations and to determine the main indications for surgery in accordance with the classification of M. Robson.Material and methods. The frequency of abdominal delivery during the period 2018 - 2021 was determined in the SBHI RCPCof the Ministry of Health of the Republic of Bashkortostan. A retrospective analysis of 150 delivery records of patients delivered by cesarean section in 2021 was carried out. The age of the patients, the parity of labor, the term of delivery, the frequency of emergency operations were studied. The Robson scale was used, recommended as a standard for monitoring and comparing the frequency of cesarean section in maternity hospitals, which allows to study the structure of indications for CS surgery. The data were processed by methods of medical statistics using MS Excel 2017 software.Results. The frequency of CS surgery over the past 4 years in the State Budgetary Healthcare Institution of the Republican Clinical Perinatal Center of the Ministry of Health of the Republic of Bashkortostan tends to decrease and amounted to 61.3% in 2018,51.5% in 2019, 49% in 2020, 49.2% in 2021, but remains quite high. The main group of pregnant women who delivered by CS surgery in accordance with the M. Robson scale are women of group 5 who have a scar (scars) on the uterus after abdominal delivery in previous pregnancies -34%. A significant proportion of the operated patients were patients of groups 1, 2, 3, 10 on the M. Robson scale, in which the frequency of CS ranged from 8% to 16%. The most frequent indications for CS in these groups were intrauterine fetal hypoxia, untimely discharge of amniotic fluid, preeclampsia with complications, and pregnancy overgrowth.Conclusions. The frequency of CS surgery and the groups of pregnant women with the most frequent indications for CS delivery were determined, which is important for finding a reserve for reducing CS and optimizing the monitoring of risk groups for CS during pregnancy.