mvjrМедицинский вестник Юга РоссииMedical Herald of the South of Russia2219-80752618-7876The Rostov State Medical University10.21886/2219-8075-2021-12-2-16-21mvjr-1349Research ArticleОБЗОРЫREVIEWАнализ мировых трендов уровня кесарева сечения с использованием классификации РобсонаAnalysis of global trends in caesarean section rates using the Robson classificationhttps://orcid.org/0000-0003-2602-1486ЛебеденкоЕ. Ю.LebedenkoE. Yu.

Лебеденко Елизавета Юрьевна, д.м.н., профессор кафедры акушерства и гинекологии №3

Ростов-на-Дону

Elizaveta Yu. Lebedenko, Dr. Sci. (Med.), associate professor, professor of the Department of obstetrics and gynecology №3

Rostov-on-Don

lebedenko08@mail.ruhttps://orcid.org/0000-0002-8891-0425БеспалаяА. В.BespalayaA. V.

Беспалая Ангелина Викторовна, врач акушер гинеколог родового отделения

Ростов-на-Дону

Angelina V. Bespalaya, obstetrician of the birth department

Rostov-on-Don

angelina-koshka@yandex.ruhttps://orcid.org/0000-0003-1591-2013ФеоктистоваТ. Е.FeoktistovaT. E.

Феоктистова Татьяна Евгеньевна, к.м.н., доцент кафедры акушерства и гинекологии №3

Ростов-на-Дону

Tatyana E. Feoktistova, Cand. Sci. (Med.), associate professor of the Department of Obstetrics and Gynecology

Rostov-on-Don

feo-t@yandex.ruhttps://orcid.org/0000-0002-5862-5762РымашевскийМ. А.RymashevskiyM. A.

Рымашевский Михаил Александрович, к.м.н., ассистент кафедры акушерства и гинекологии №1

Ростов-на-Дону

Mikhail A. Rymashevskiy, Cand. Sci. (Med.), assistant of the Department of Obstetrics and Gynecology

Rostov-on-Don

mikhail.rymashevskiy@mail.ruРостовский государственный медицинский университетРоссияRostov State Medical UniversityRussian FederationГосударственное бюджетное учреждение Ростовской области «Перинатальный центр»РоссияRostov State «Perinatal center»Russian Federation2021040720211221621Copyright © Лебеденко Е.Ю., Беспалая А.В., Феоктистова Т.Е., Рымашевский М.А., 20212021Лебеденко Е.Ю., Беспалая А.В., Феоктистова Т.Е., Рымашевский М.А.Lebedenko E.Y., Bespalaya A.V., Feoktistova T.E., Rymashevskiy M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medicalherald.ru/jour/article/view/1349

Частота кесарева сечения (КС) продолжает расти во всём мире без чёткого понимания основных движущих сил и последствий. 10-групповая классификация Робсона основана на простых акушерских параметрах (паритет, предшествующий КС, гестационный возраст, начало родов, предлежание плода и количество плодов), что позволяет эффективно оценивать показатели, приводящие к увеличению частоты абдоминального родоразрешения. В условиях общемирового роста частоты кесарева сечения дальнейшая модификация шкалы позволит оценивать не только частоту КС, но и уровни перинатальной заболеваемости и смертности в группах, вносящие наиболее весомый вклад в уровень КС. Общемировые тенденции коммерциализации родов требуют глобальных подходов, необходимых для снижения уровня абдоминального родоразрешения в популяции.

The rate of Cesarean section (CS) continues to rise and researchers have no clear understanding of the underlying drivers and consequences. Robson’s 10-group classification is based on simple obstetric parameters (parity, prior CS, gestational age, onset of labor, fetal presentation, and a number of fetuses), which allowed the authors to make an effective evaluation of indicators that lead to an increase in the frequency of abdominal delivery. In the context of the global increase in the frequency of abdominal delivery, further modification of the scale will allow the specialists not only to assess the frequency of CS but also to assess the levels of perinatal morbidity and mortality in the groups that make the most significant contribution to the level of CS. Global trends in the commercialization of childbirth require global approaches to reduce the level of abdominal delivery in the population.

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The authors declare that there are no conflicts of interest present.