Мать и дитя в Кузбассе (Dec 2018)
APPLYING OF ROBSON CLASSIFICATION FOR THE ANALYSIS OF THE WORK OBSTETARY HOSPITAL 3 LEVEL AND SEARCHING FOR WAYS TO REDUCE FREQUENCY OF THE CAESAREAN SECTION
Abstract
The goal of our work was a retrospective analysis of work of the regional perinatal center in 2012 and 2017 using Robson's 10 group classification to find ways to reduce caesarean section rate in inpatient level 3. Material and methods. A retrospective analysis of the delivery histories of patients of the State Healthcare Institution «Regional Perinatal Center» in 2012 and 2017 for the 10-group Robson classification. A total of 7629 delivery histories were analyzed, of which3605 in 2012 (out of 4,081 delivery – 88.3 %) and4024 in 2017 (out of 4284 delivery – 93.9 %). Main provisions. In 2017, compared with 2012, there was no increase in the frequency of caesarean section in regional perinatal center due to its significant decrease in groups 1, 2 and 4, and an unreliable decrease in group 3. Careful selection of patients for timely delivery allowed, on the one hand, to ensure maximum frequency conservative delivery in timely delivery (groups No. 2 and 4), and on the other hand, to minimize abdominohysterotomy in groups with spontaneous delivery (groups No. 1 and 3). Due to the careful selection of patients for vaginal delivery with a scar on the uterus, there was a decrease in the frequency of abdominohysterotomyin group 5, which also contributed to curbing the increase in the frequency of Caesarean section (CS) in Regional perinatal center. Results. The Robson classification allows you to analyze frequency of CS in groups in dynamics and find ways to reduce it in obstetric hospital level 3. The share of abdominal delivery in groups of maturesignificant with cranial presentation including those with a history of CS (groups No. 1, 2, 3, 4 and 5), has the greatest impact on the overall frequency of CS in the perinatal center.
