Cesarean section in the perinatal center of iii level - indications and risk factors

Authors

DOI:

https://doi.org/10.15587/2519-4798.2020.208987

Keywords:

complications of childbirth, caesarean section, indications, obstetric and gynecological history, extragenital pathology, risk factors, odds ratio

Abstract

In the structure of labour, the frequency of caesarean section should not exceed 15%. Therefore, it is extremely important to clearly define clinical situations in which caesarean section can be abandoned and, conversely, identify pregnant women in whom it is advisable to plan a caesarean section to prevent urgent situations.

The aim of the study was to study the structure of indications for emergency abdominal delivery in a level III medical department - the urban perinatal center of Kharkov to optimize childbirth tactics.

Material and methods. Clinical and statistical analysis of pregnancy and childbirth histories of 550 women in labour who gave birth in the Kharkov city perinatal center during 2018-2019 was performed. The structure of the indications and the caesarean section frequency was analysed depending on clinical and anamnestic data using descriptive statistics methods, χ2 criterion and calculation of the odds ratio (OR) using the PSSР statistical software package.

Results. The highest OR values were in diabetes mellitus, burdened gynecological history and cardiovascular diseases (OR more than 5.0). Gestational hypertension, first labour, genital tract infections, nervous system diseases, preeclampsia, obesity of the digestive system diseases, large fetus and vegetative-vascular dystonia (OR from 2.108 to 4.113) had a lesser effect, myopia, first pregnancy, and late reproductive age (OR from 1.619 to 1.958).

Conclusion. The most common causes of emergency caesarean section were weak labour (29.5%) and fetal distress (13.2%). In 20.9% of women - concomitant diseases of the mother and large fetus. Indications for emergency caesarean section most often occurred in women in labour with diabetes mellitus, weighed down by a gynecological history and with cardiovascular diseases

Author Biographies

Olga Grishchenko, Kharkiv Medical Academy of Postgraduate Education Amosova str., 58, Kharkiv, Ukraine, 61176

MD, Professor, Head of Department

Department of Perinatology and Genealogy

Svitlana Korovay, Municipal non-profit enterprise "City Perinatal Center" of Kharkiv City Council Saltivske highway, 264, Kharkiv, Ukraine, 61176

Head Doctor

Sevindzh Shahin Kizi Mamedova, Kharkiv Medical Academy of Postgraduate Education Amosova str., 58, Kharkiv, Ukraine, 61176

Postgraduate Student

Department of perinatology and gynecology

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Published

2020-07-31

How to Cite

Grishchenko, O., Korovay, S., & Mamedova, S. S. K. (2020). Cesarean section in the perinatal center of iii level - indications and risk factors. ScienceRise: Medical Science, (4 (37), 4–8. https://doi.org/10.15587/2519-4798.2020.208987

Issue

No. 4 (37) (2020)

Section

Medical Science

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Copyright (c) 2020 Olga Grishchenko, Svitlana Korovay, Sevindzh Shahin Kizi Mamedova

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