PERINATOLOGIYA AND PEDIATRIYA.2019.2(78):54-57; doi 10.15574/PP.2019.78.54

Ishchenko A. I., Demenina N. K.
SI Institute of Pediatrics, Obstetrics and Gynecology named after academician O. Lukyanova of the National Academy of Medical Sciences of Ukraine, Kyiv

A cesarean section is a surgical procedure which can lead to numerous complications in both mother and child. The World Health Organization considers Cesarean section rates of 5-15% to be the optimal range for targeted provision of this life saving intervention. In recent years, the cesarean section rate has increased in different parts of the world, both in developed and developing countries (from 16 million, or 12.1% of all births, in 2000 to 29.7 million, or 21.1% of all births in 2015). The reasons for the increase are multifaceted. Earlier it used to be done for health of the mother but now fetal interest has played a major role. This study aimed to perform a systematic review to determine the risks of rates, maternal complications associated with cesarean section without medical indication compared to vaginal delivery. Caesarean section is a complex surgical intervention with a high incidence of intra- and postoperative complications. The risk of maternal complications during abdominal delivery increases by more than 10 times, and the risk of maternal mortality – by 5 times. Among postoperative complications, endometritis, postoperative suture suppuration, parametrium infiltrates, prostate tissue infiltrates, hematomas of various localization, sagging of ligatures, as well as peritonitis, sepsis are most common. Infectious complications are among the top 5 causes of maternal morbidity and mortality around the globe. Postpartum period after cesarean section is characterized by development of pain syndrome, manifestations of which significantly worsen general well-being, physical activity and quality of life of patients. The primary task of obstetrics is to improve methods for reducing the frequency of cesarean section, taking into account absolute indications for operative delivery.

Key words: Cesarean delivery, cesarean rate, maternal morbidity, risk factors, perioperative complications birth, Indications.

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Article received: Jan 18, 2019. Accepted for publication: May 27, 2019.