Introduction: Caesarean section (CS) is one of the most common abdominal surgeries performed in the world. The 10-Group Classification System (TGCS, Robson classification) is a World Health Organization recommended classification assessing indications based on 5 variables (parity, previous caesarean section, labour onset, foetal presentation, gestational age, and number of fetuses). The TGCS provides the opportunity to compare indications between different countries, audit, and evaluate of the quality and impact of the recommendations. Aim of the research: Classification of CS data derived from 2 centres according to the TGCS. Material and methods: We used the above-mentioned tool to classify 2000 Caesarean sections from two centres -II and III degree of reference. Results: In both groups, group 5 (RG5 -Robson group 5) constituted the largest part of all Caesarean sections, at 39.9% and 35.17%, respectively. The sum of groups from 1 to 4 (RG 1-4) had a relative contribution to the total number of Caesarean sections in individual centres of 46.94% and 53.48%, respectively. The percentage of occurrence of particular classes was similar in both centres. Conclusions:The results of our study are an attempt to determine the trend in indications for Caesarean sections according to the TGCS in Poland and to popularize the tool used according to WHO recommendations. All activities aimed at effective reduction of the number of Caesarean sections in Poland should be aimed primarily at reducing the percentage of Caesarean sections in the RG5 group. StreszczenieWprowadzenie: Cięcie cesarskie (CC) to jedna z najczęściej wykonywanych operacji brzusznych na świecie. System Robsona oparty na 10 grupach (TGCS -The 10-Group) jest klasyfikacją CC zalecaną przez Światową Organizację Zdrowia. Pacjentki klasyfikowane są na podstawie 5 zmiennych (rodność, obecność blizny po CC na macicy, rozpoczęcie porodu, położenie i liczba płodów oraz wiek ciążowy). TGCS umożliwia porównanie wskazań między różnymi krajami, audyt ośrodków oraz ocenę wpływu zaleceń. Cel pracy: Klasyfikacja CC według TGCS. Materiał i metody: Przy użyciu TGCS sklasyfikowaliśmy 2000 CC z dwóch ośrodków -II i III stopnia referencyjności. Wyniki: W obu grupach grupa 5 (RG5 -Robson group 5) stanowiła największy odsetek wszystkich CC, odpowiednio 39,9% i 35,17%. Suma grup od 1 do 4 (RG 1-4) miała względny udział w ogólnej liczbie CC w poszczególnych ośrodkach, odpowiednio 46,94% i 53,48%. Odsetek występowania poszczególnych klas był podobny w obu ośrodkach. Wnioski: Wyniki naszego badania są próbą określenia trendu wskazań do CC według TGCS w Polsce oraz popularyzacji tego narzędzia. Wszystkie działania mające na celu efektywne zmniejszanie liczby CC w Polsce powinny być ukierunkowane na zmniejszanie liczby pacjentek klasyfikowanych do grupy 5.

Introduction: The prevalence of abdominal aorta aneurysms (AAA) is estimated to be between 1.3-12.5% in men and 5.2% in women, which poses a serious public health issue. Ruptured aorta aneurysm most often causes internal bleeding and ultimately leads to death. The cause of high mortality is the asymptomatic occurrence of AAA. Usually, the first symptom is its rupture The aim of our paper is to provide a relationship between the percentage of the population reporting to the vascular surgeon and the type of residence based on the analysis of data from screening studies carried out in one of the regions of Poland. Material and methods: Patients previously informed about the free diagnostics in the Provincial Hospital in Kielce were examined by qualified physicians with ESAOTE MyLab Seven ultrasound device. Prior to that, patients were asked to fill a questionnaire to acquire data about their risk factors, demography, and medical history. Results: A total of 22 (7.3%) aneurysms were found in a group of 301 patients, of which 20 (6.6%) were found in men and 2 (0.66%) in women. Conclusions: Screening tests are an effective method to significantly improve early detection of AAAs. However, it is necessary to provide easier access to health professionals qualified to perform ultrasound examinations. It is especially important for the population of men with a family history of AAA, because they are at a higher risk of developing this pathology. The incidence rate of AAA observed in our study is consistent with the data published in worldwide literature.