RESEARCH OF THE FACTORS WHICH INCREASE LEVEL OF CAESARIAN SECTION IN 2017–2018

Authors

  • D. Ye. Moskviak-Lesniak Danylo Halytskyі Lviv National Medical University, Lviv, Ukraine
  • A. V. Krasivska Danylo Halytskyі Lviv National Medical University, Lviv, Ukraine
  • I. T. Zhygaliak Danylo Halytskyі Lviv National Medical University, Lviv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2019.3.10587

Keywords:

caesarian section, indications for caesarean section, second labours

Abstract

Purpose: research and analysis of factors that influence on the increase of frequency of realization caesarian section in the maternity hospitals of Lviv (in 2017– 2018).

Materials and Methods. The objects of the study were obstetricians and doctors of obstetricians-gynecolo­gists of maternity hospitals in the city of Lviv: Municipal Non-Profit Enterprise "Maternity Clinical Hospital No. 1 in Lviv", Maternity Department of Municipal Non-Profit Enterprise "3 City Clinical Hospital in Lviv", Municipal Institution of Lviv Regional Hospital Center.

A one-time, cohort study was conducted using the following methods: anonymous individual questionnaire; retrospective analysis of the statistical report of the structure of indications for caesarean section at the Municipal Non-Profit Enterprise "Maternity Clinical Hospital No. 1 in Lviv" in 2018 (1180 operations) and 2017 (1006 operations); statistical; analytical. The average (M ± SE) and relative indices were calculated.

Results. In 2018, the method of delivery by caesarean section was chosen in 25.7 % of the total number of births, which increased 1.2 times compared to 2017 – 20.8 %. Among the women surveyed, about 86 % of parturition women are pregnant, of whom 10 % are with multiple pregnancies. Analyzing the proportion of physio­logical childbirth at the first pregnancy – 52 %, repeated pregnancy – 34 % and cesarean section – 48 and 66 % respectively in the women giving birth, it was found that the number of repeated childbirths by caesarean section increased 1.26 times. It was found that the increase in the frequency of total deliveries by caesarean section is influenced by the presence of medical indications (90.58 %), in particular: scar on the uterus after caesarean section surgery – 27.12 %, fetal distress – 14.16 %, pelvic and tender presentation – 9.7 %; increase in the number of repeated births after the previous CS; an increase in the frequency of chronic diseases in the anamnesis: varicose veins of the lower extremities, decreased visual acuity, hypertension, diabetes; psychological factor (emotional stress on the part of relatives and childbirth; fear provoked by the community; fear of pain; fear of childbirth); the desire of the woman (after a previous C-section).

Conclusions. The increase in the frequency of total deliveries by CS in maternity hospitals in Lviv is influenced by: medical indications; increase in the number of repeated births after the previous CS; an increase in the incidence of chronic diseases in history; psychological factor; desire of woman.

Author Biographies

D. Ye. Moskviak-Lesniak, Danylo Halytskyі Lviv National Medical University, Lviv, Ukraine

Moskvyak-Lesnyak Dzvenyslava Yevgenivna - PhD (Medicine), teaching assistant in department of social medicine, economy and organization of health protection in Danylo Halytsky Lviv National Medical University, executing duties of the manager of the gynecological department in the communal noncommercial enterprise "Clinical maternity hospital № 1 Lviv".

A. V. Krasivska, Danylo Halytskyі Lviv National Medical University, Lviv, Ukraine

Krasivska Andriana Volodymyrivna – 6th year student at the general  medicine faculty  in Danylo Halytsky Lviv National Medical University

I. T. Zhygaliak, Danylo Halytskyі Lviv National Medical University, Lviv, Ukraine

Zhygaliak Irina Tarasivna - a student of the 6th year of medical faculty of Danylo Halytsky Lviv National Medical University

References

Hutor, T.H. (2013). Retrospektyvni osnovy protsesu stanovlennia ta rozvytku hrupovoho metodu ekspertnoho otsiniuvannia [Retrospective basis of the formation and development process of the group method of expert evaluation]. Suchasni medychni tekhnolohii – Modern Medical Technologies, 2, 37-39 [in Ukrainian].

Korchynska, O.O., & Hulpe, K.Yu. (2016). Materynski ta perynatalni naslidky, poviazani z kesarevym roztynom: porivnialnyi analiz iz dosvidom koleh zi Slovachchyny [Maternal and perinatal outcomes related to caesarean section: a comparative analysis with the experience of colleagues from Slovakia]. Naukovo-praktychnyi zhurnal dlia pediatriv ta likariv zahalnoi praktyky – simeinoi medytsyny – Scientific and Practical Journal for Pediatricians and General Practitioners – Family Medicine, 2, 35-39 [in Ukrainian].

(2011). Pro zatverdzhennia klinichnoho protokolu z akusherskoi dopomohy "Vahinalni polohy pislia kesarevo horoztynu (VPKR)". Nakaz MOZ Ukrainy vid 27.12.2011 № 976. [On approval of the clinical protocol on obstetric care "Vaginal delivery after caesarean section (VDCS)". Ministry of Health of Ukraine Order No. 976 of 27.12.2011]. [in Ukrainian].

(2011). Pro vnesennia zmin do nakazu MOZ Ukrainy vid 15.12.2003 roku №582 "Pro zatverdzhennia klinichnykh protokoliv z akusherskoi ta hinekolohichnoi dopomohy". Nakaz MOZ Ukrainy vid 27.12.2011 № 977. [On amendments to the order of the Ministry of Health of Ukraine of 15.12.2003, № 582 "On approval of clinical protocols on obstetric and gynecological care". Ministry of Health of Ukraine Order No. 977 of December 27, 2011] [in Ukrainian].

Ties Boema, Carine Ronsmans, Dessalegn Y. Melesseetal. (2018). Global epidemiolody of use of and disparitiesincaesareansections. Lancet, 391, 1589-1598.

Betran, A.P., Torloni M.R., & Zhang, J. (2015). What is the optimal rate of caesareansectionat population level? A systematic review of ecologic studies. Reprod. Health, 12, 57.

Downloads

Published

2019-11-15

How to Cite

Moskviak-Lesniak, D. Y., Krasivska, A. V., & Zhygaliak, I. T. (2019). RESEARCH OF THE FACTORS WHICH INCREASE LEVEL OF CAESARIAN SECTION IN 2017–2018. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (3), 25–29. https://doi.org/10.11603/1681-2786.2019.3.10587

Issue

No. 3 (2019)

Section

Health of the population:tendencies and forecasts

License

Authors who publish in this journal agree to the following terms:

1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.

 2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.

3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).