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Health Implications of Increased Cesarean Section Rates

INTRODUCTION: The health implications of Caesarean section are a significant factor in evaluating the use of Caesarean section as a method of completing childbirth. The increased rate of Cesarean section augmenting in a statistical way the health implications of the use of Cesarean section as a way...

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Autores principales: Miseljic, Nenad, Ibrahimovic, Sead
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AVICENA, d.o.o., Sarajevo 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7428894/
https://www.ncbi.nlm.nih.gov/pubmed/32843860
http://dx.doi.org/10.5455/msm.2020.32.123-126
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author Miseljic, Nenad
Ibrahimovic, Sead
author_facet Miseljic, Nenad
Ibrahimovic, Sead
author_sort Miseljic, Nenad
collection PubMed
description INTRODUCTION: The health implications of Caesarean section are a significant factor in evaluating the use of Caesarean section as a method of completing childbirth. The increased rate of Cesarean section augmenting in a statistical way the health implications of the use of Cesarean section as a way of operative technique of childbirth finalization. AIM: To investigate the incidence of health implications on mother and child after Cesarian section in comparison to vaginal delivery. METHODS: In our study, which was conducted as a retrospective-prospective and targeted study, the observed research period is from 2007 to 2019. The data sources are: medical histories, birth protocols and neonatal medical histories. Group A: represents the number of surveyed patients with a Cesarean section in a one-year period (2018) in General Hospital „Prim.dr A. Nakaš“. Group B: represents a control group of the same number of patients born by Caesarean section in 2007 in General Hospital „Prim.dr A.Nakaš“ with all parameters and variables detected in the research group. Evaluation of the examinee’s findings includes: anamnestic data, sonographic data, gynecological finding, colposcopic finding. PAPA test, HPV typing and laboratory findings due to the extensiveness of the study. RESULTS: A comparison of the number of Caesarean sections in BiH before and now shows a statistically significant increase from about 6 caesareans per year to almost 21 Cesarean section per year (p<0.05). This increase led to a statistically significant decrease in perinatal mortality from 30 per thousand per year to only 6 per thousand per year (p<0.05). Complications after Cesarean section during both observed periods are dominated by subjective problems, followed by early complications after Cesarean section. According to the types of complications after Caesarean section, hemorrhages were the most numerous during both examined years, with 1 case of other complications and without a statistically significant difference between the observed years. There were no statistically significant differences in the duration of hospitalization, although in 2007 somewhat longer stay in the hospital after Caesarean section was recorded. CONCLUSION: Our study has shown that one of the most visible trends in modern perinatology is a significant increase in number of Cesarean sections. This is the basis of long-term side effects of Caesarean section, the frequency of which correlates with the increase in this surgical procedure.
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spelling pubmed-74288942020-08-24 Health Implications of Increased Cesarean Section Rates Miseljic, Nenad Ibrahimovic, Sead Mater Sociomed Original Paper INTRODUCTION: The health implications of Caesarean section are a significant factor in evaluating the use of Caesarean section as a method of completing childbirth. The increased rate of Cesarean section augmenting in a statistical way the health implications of the use of Cesarean section as a way of operative technique of childbirth finalization. AIM: To investigate the incidence of health implications on mother and child after Cesarian section in comparison to vaginal delivery. METHODS: In our study, which was conducted as a retrospective-prospective and targeted study, the observed research period is from 2007 to 2019. The data sources are: medical histories, birth protocols and neonatal medical histories. Group A: represents the number of surveyed patients with a Cesarean section in a one-year period (2018) in General Hospital „Prim.dr A. Nakaš“. Group B: represents a control group of the same number of patients born by Caesarean section in 2007 in General Hospital „Prim.dr A.Nakaš“ with all parameters and variables detected in the research group. Evaluation of the examinee’s findings includes: anamnestic data, sonographic data, gynecological finding, colposcopic finding. PAPA test, HPV typing and laboratory findings due to the extensiveness of the study. RESULTS: A comparison of the number of Caesarean sections in BiH before and now shows a statistically significant increase from about 6 caesareans per year to almost 21 Cesarean section per year (p<0.05). This increase led to a statistically significant decrease in perinatal mortality from 30 per thousand per year to only 6 per thousand per year (p<0.05). Complications after Cesarean section during both observed periods are dominated by subjective problems, followed by early complications after Cesarean section. According to the types of complications after Caesarean section, hemorrhages were the most numerous during both examined years, with 1 case of other complications and without a statistically significant difference between the observed years. There were no statistically significant differences in the duration of hospitalization, although in 2007 somewhat longer stay in the hospital after Caesarean section was recorded. CONCLUSION: Our study has shown that one of the most visible trends in modern perinatology is a significant increase in number of Cesarean sections. This is the basis of long-term side effects of Caesarean section, the frequency of which correlates with the increase in this surgical procedure. AVICENA, d.o.o., Sarajevo 2020-06 /pmc/articles/PMC7428894/ /pubmed/32843860 http://dx.doi.org/10.5455/msm.2020.32.123-126 Text en © 2020 Nenad Miseljic, Sead Ibrahimovic http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Miseljic, Nenad
Ibrahimovic, Sead
Health Implications of Increased Cesarean Section Rates
title Health Implications of Increased Cesarean Section Rates
title_full Health Implications of Increased Cesarean Section Rates
title_fullStr Health Implications of Increased Cesarean Section Rates
title_full_unstemmed Health Implications of Increased Cesarean Section Rates
title_short Health Implications of Increased Cesarean Section Rates
title_sort health implications of increased cesarean section rates
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7428894/
https://www.ncbi.nlm.nih.gov/pubmed/32843860
http://dx.doi.org/10.5455/msm.2020.32.123-126
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