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Științe medicale. Medicină (11142) |
SM ISO690:2012 FRIPTU, Valentin, MARIAN-PAVLENCO, Angela. Tendinţa operaţiei cezariene timp de 10 ani în Republica Moldova. In: Buletin de Perinatologie, 2018, nr. 3(79), pp. 34-38. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 3(79) / 2018 / ISSN 1810-5289 | ||||||
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CZU: 618.5-089.888.61(478) | ||||||
Pag. 34-38 | ||||||
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Rezumat | ||||||
Cesarean section (CS) is a major area of controversy about its ascending character in our country and worldwide. The purpose of this study was to analyze the growing trends of caesarean section in order to argument this intervention. Material and methods: we collected representative, nationally data and data from two maternities of the IIIrd and the IInd institutional level, (Public Medical Health Institution, Mother and Child Institute and PMHI Municipal Clinical Hospital no.1) about CS incidence and perinatal mortality (PM) rate, during the period 2007-2016 years. Results: according to the received data, at the present 17.4% of all births are delivered by caesarean section, nationally, ranging from 30.5% in the Mother and Child Institute to 18.6% Municipal Clinical Hospital no.1. In the Republic of Moldova, over the years 2007-2016, it is found that the average rate of CS is increased with 5.32% (from 12.08% to 17.4%), in the Municipal Clinical Hospital no.1 with 4.7% (from 13.9% to 18.6%) and in the Mother and Child Institute with 9.48% (from 21.05% to 30.53%). The CS incidence associated with decreasing rates in the Mother and Child Institute is about 33.56%, for Municipal Clinical Hospital no.1, it is about 17.3% and 17.01% nationally. Uterus scar, after a previous CS is the indication with the highest frequency for a delivery by CS (35%), followed by fetal distress (10.4%) and pelvic presentation (7.6%). Conclusions: in the last 10 years, the nationally incidence of caesarean section increased from 12.08% to 17.4%, in the Mother and Child Institute from 21.05% to 30.53% and from 13.9% to 18.6% in Municipal Clinical Hospital no.1, the most frequent indication for a cesarean delivery is the repeated CS (35%). The incidence of cesarean section associated with decreasing frequency of perinatal mortality rate is different, depending on the level of the public institution. |
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Cuvinte-cheie cesarean section, perinatal mortality |
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