Stručni rad
SHOULD WE INCREASE THE NUMBER OF CASES OF CESAREAN SECTIONS?
Edita Tadić
Danijela Štefanić-Mitrović
Nikša Milić
Dinko Kulišić
Krešimir Baraka
Sažetak
Objective. In order to determine whether there is an objective reason to increase the number of Cesarean sections in General Hospital Zadar, for the period from 1997–2001 (8479 deliveries) the perinatal mortality and post-born conditions of children (a 1-minute and 5-minute Apgar score, clinical and laboratory signs of asphyxia, head ultrasound) were analyzed. Separate analysis was made of vaginally delivered children and of those delivered by Cesarean section. Breech deliveries, deliveries after previous Cesarean section and twin pregnancies were analyzed too. Results. Annually, the number of Cesarean sections was nearly equal (6.3–7.79%) in average 7.26%. Perinatal mortality indicated wider differences, i.e. 10.18–3.0‰, in average 6.73‰. Perinatal mortality of vaginally delivered children was 6.02‰ and of children delivered by Cesarean section 15.70‰ (t=2,81). The most part of perinatally dead children refers to fetal death. Early neonatal mortality of vaginally delivered children was 2.55‰, and of children delivered by Cesarean section 9.47‰ (t=3.12). The 64% of all early neonatally dead children where delivered as prematures. A 1-minute Apgar score <7 was recorded in 1.1% of vaginally delivered children and in 25.7% of children delivered by Cesarean section (t=35.27). A 5-minute Apgar score <7 was in 0.48% of vaginally delivered children and in 13.4% of children delivered by Cesarean section (t=11.59). Hypoxia¬ diagnosis was made in 0.88% of vaginally delivered children, and in those delivered by Cesarean¬ section in 25.37% (t=36.49). Conclusion. Consequently, there are in the Hospital of Zadar no objective reasons to increase the number of Cesarean sections, especially not in the sense of liberalization.
Ključne riječi
Cesarean section; frequency; perinatal mortality; neonatal hypoxia
Hrčak ID:
15519
URI
Datum izdavanja:
1.3.2003.
Posjeta: 2.277 *