Results of the analysis of the frequency and causes of caesarean section based on Robson’s classification in obstetric hospitals of the Federal Medical and Biological Agency of Russia

Filippov, O.S.; Pavlov, K.D.

doi:10.17116/rosakush2023230517

Ross. vestn. akush.-ginekol.

2023

DOI: 10.17116/rosakush2023230517

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Results of the analysis of the frequency and causes of caesarean section based on Robson’s classification in obstetric hospitals of the Federal Medical and Biological Agency of Russia

O.S. Filippov,

K.D. Pavlov

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2024

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Cited by 2 publications

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Modern methods of regional and postoperative anesthesia during cesarean section: a literature review

Korobka,

Pichugina,

Khazieva

et al. 2024

Regional Anesthesia and Acute Pain Management

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The number of cesarean section (CS) deliveries increases annually in Russia. General anesthesia involves certain risks, including difficult or unsuccessful intubation, aspiration, and infectious and thromboembolic complications. Therefore, regional anesthesia is the method of choice for CS. To date, choosing the most effective method of regional anesthesia remains challenging, including in the postoperative period. Thus, this review aimed to compare the effectiveness of regional anesthesia methods used in CS and identify the most preferred ones for use in clinical practice. The authors conducted a literature search in the electronic databases PubMed (MEDLINE), eLibrary, and Google Scholar using the following keywords and their combinations in English and in Russian: «cesarean section», «neural morphine», «regional analgesia», «epidural analgesia», «peripheral nerve block», nerve block», «paravertebral block», «cesarean section», neuroaxial use of opioids», «regional analgesia», «epidural analgesia», «peripheral nerve blockade», «blockade», and «paravertebral blockade». The search results revealed 3 558 in the PubMed database, 94 in eLibrary, and 2 662 in Google Scholar. The results show that the neuroaxial administration of opioids remains the gold standard of pain relief after CS; however, information on the analgesic effectiveness of new blockades, such as anterior block of the quadratic lumbar muscle and block of the muscle straightening the spine, continues to accumulate.

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Modern methods of regional and postoperative anesthesia during cesarean section: a literature review

Korobka,

Pichugina,

Khazieva

et al. 2024

Regional Anesthesia and Acute Pain Management

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Delivery and Delivery Frequency

Vybornykh

2024

Bulletin of Science and Practice

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Vaginal delivery is preferred given that morbidity and mortality associated with operative caesarean section have increased over time. Caesarean section is a unique measure of preserving the health and life of the mother or fetus, but the global rise in its frequency is alarming. Medical caesarean section is an effective method of reducing maternal and perinatal mortality. Any method of delivery for women with a history of caesarean section carries risks. Today, it is extremely necessary to assess the frequency of unreasonable delivery tactics, namely the frequency of unreasonable antenatal cesarean section, unsuccessful attempts at vaginal delivery, the frequency of delivery with severe complications for the mother and/or newborn. In general, 951 births occurred in the Kyrgyz Scientific Center for Human Reproduction in 2016, in 2017 (2193) the number of births increased by +130.6%, in 2018 (2638) by +20.3%, in 2019 the decline was −15.9%, in 2020 the number of births increased again (2808) by +26.5%, 2021 (3543) by +26.1% and 2022 (3231) cases of childbirth decreased by −8.8%. Analysis of delivery methods in women admitted to the Center for Human Reproduction in Bishkek showed in the years studied the predominance of vaginal deliveries over cesarean sections from 2.4 times to 3.0 times. Over time, cases of vaginal delivery tended to decrease against the background of an increase in cases of cesarean sections in 2018 and 2020-2022, with the exception of 2017 and 2019.

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Results of the analysis of the frequency and causes of caesarean section based on Robson’s classification in obstetric hospitals of the Federal Medical and Biological Agency of Russia

Cited by 2 publications

References 11 publications

Modern methods of regional and postoperative anesthesia during cesarean section: a literature review

Modern methods of regional and postoperative anesthesia during cesarean section: a literature review

Delivery and Delivery Frequency

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