mvjrМедицинский вестник Юга РоссииMedical Herald of the South of Russia2219-80752618-7876The Rostov State Medical University10.21886/2219-8075-2024-15-4-5-15mvjr-2006Research ArticleАКУШЕРСТВО И ГИНЕКОЛОГИЯOBSTETRICS AND GYNECOLOGYРезервы снижения частоты кесарева сечения в стационаре 3А уровняReserves for reducing the frequency of cesarean section in a level 3A hospitalhttps://orcid.org/0000-0003-2602-1486ЛебеденкоЕ. Ю.LebedenkoE. Yu.

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

Ростов-на-Дону

lizaveta Yu. Lebedenko, Dr. Sci. (Med.), Professor, Head of the Department obstetrics and gynecology №3

Rostov-on-Don

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

Беспалая Ангелина Викторовна, заведующая организационно-методическим отделом

Пятигорск

Angelina V. Bespalaya, Head of the Organizational and Methodological Department, Pyatigorsk Interdistrict Maternity Hospital

Pyatigorsk

angelina-koshka@yandex.ruhttps://orcid.org/0000-0002-8282-2248МихельсонА. А.MikhelsonA. A.

Михельсон Артур Александрович, к.м.н., доцент кафедры акушерства и гинекологии №3

Ростов-на-Дону

Artur A.Mikhelson, Cand. Sci. (Med.), Associate Professor of the Department obstetrics and gynecology №3

Rostov-on-Don

https://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 obstetrics and gynecology №3

Rostov-on-Don

https://orcid.org/0009-0000-6071-4396КормануковХ. Ю.KormanukovH. Yu.

Кормануков Хачерес Юрьевич, студент 6 курса лечебно-профилактического факультета

Ростов-на-Дону

Hacheres Yu. Kormanukov, 6th year student of the Faculty of Treatment and Prevention, Rostov State Medical University

Rostov-on-Don

Ростовский государственный медицинский университетРоссияRostov State Medical UniversityRussian FederationПятигорский межрайонный родильный домРоссияPyatigorsk Interdistrict Maternity HospitalRussian Federation202415102024154515Copyright © Лебеденко Е.Ю., Беспалая А.В., Михельсон А.А., Феоктистова Т.Е., Кормануков Х.Ю., 20242024Лебеденко Е.Ю., Беспалая А.В., Михельсон А.А., Феоктистова Т.Е., Кормануков Х.Ю.Lebedenko E.Y., Bespalaya A.V., Mikhelson A.A., Feoktistova T.E., Kormanukov H.Y.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/2006Цель

Цель: обосновать резервы снижения частоты кесарева сечения в стационаре 3А уровня путём ретроспективного анализа родоразрешенных пациенток с применением классификации М. Робсона.

Материалы и методы

Материалы и методы: проведён ретроспективный анализ 3771 истории родов пациенток, родоразрешённых в 2017 г. в ГБУ РО «Перинатальный центр». Пациентки были распределены по 10 группам по классификации М. Робсона. Накопление, систематизация информации и визуализация полученных результатов осуществлялись в электронных таблицах Microsoſt Office Excel 2019. Статистический анализ проводился с использованием программ IBM SPSS Statistics 28.0.1.1 (разработчик - IBM Corporation), STATISTICA 13.5.0.17 (разработчик - StatSoſt.Inc) и пакет MedCalc 20.027.

Результаты

Результаты: анализ способов родоразрешения показал, что из 3771 родов абдоминальным путём родоразрешены 2018 рожениц (53,2% от общего количества родов в 2017 г.). Детальный анализ показаний к кесареву сечению в каждой из групп по классификации М. Робсона позволил выявить истинный резерв по снижению общего уровня абдоминального родоразрешения в исследуемом учреждении.

Выводы

Выводы: с целью детального структурирования резервов снижения частоты кесарева сечения в конкретном учреждении и сравнительной оценки данного показателя между учреждениями родовоспоможения, помимо традиционного анализа по классификации М. Робсона, необходима разработка и внедрение единой формы анализа с учётом показаний к абдоминальному родоразрешению.

Objective

Objective: to substantiate the reserves for reducing the frequency of cesarean section in a level 3 A hospital by retrospectively analyzing delivered patients using the M. Robson classification.

Materials and methods

Materials and methods: a retrospective analysis of 3771 birth histories of patients delivered in 2017 at the Rostov State “Perinatal center” was carried out. The patients were divided into 10 groups according to M. Robson's classification. The results were processed using mathematical statistics methods using MS Excel 2010 soſtware.

Results

Results: an analysis of delivery methods showed that out of 3,771 deliveries, 2018 women were delivered by abdominal delivery, which accounted for 53.2% of the total number of births in 2017. A detailed analysis of the indications for cesarean section in each of the groups according to M. Robson's classification revealed the true reserve for reducing the overall level of abdominal delivery in the studied institution.

Conclusions

Conclusions: in order to structure in detail the reserves for reducing the frequency of cesarean section in a particular institution and to compare this indicator between maternity care institutions, in addition to the traditional analysis according to M. Robson's classification, it is necessary to develop and implement a unified form of analysis taking into account indications for abdominal delivery.

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