Morbidita pacientok po cisárskom reze

Overview

Objective:
To determine the frequency, spectrum of indications and complications and maternalmorbidity rate connected with Caesarean sections as the most frequent mode of operative delivery.Design: Retrospective, epidemiologic and comparative clinical study.Setting: Department of Obstetrics and Gynecology, Jessenius Medical Faculty, Comenius University,Martin, Slovak Republic.Methods: The authors retrospectively analyzed clinical data during a ten-years period. The numberof deliveries, premature deliveries, frequency of Caesarean section, indications and maternalmorbidity rate were determined. Further, a special attention was paid to premature deliveries andthe related frequency of Caesarean sections and maternal morbidity rate in this group. In addition,the effectiveness of a complex pre-operative management was evaluated.Results: The evidence shows that the natality rate is decreasing and the incidence of prematuredeliveries is increasing. The frequency of Caesarean sections is relatively stable with lower morbidityrate in the group of premature Caesarean deliveries. The positive effect of antibiotics, heparinand anti-aspiration medication within a complex pre-operative management was proved to decreasethe frequency and severity of complications.Conclusions: The maternal morbidity rate following Caesarean delivery is relatively low, owing tothe use of prophylaxis. However, it is vital to keep to the indications for Caesarean termination ofthe pregnancy, because there is still substantial mortality rate connected with it.

Klíčová slova:
maternal morbidity, Caesarean section, prevention, prophylaxis