TITLE:
Analysis of the Caesarean Section Rate in Armenia for the Period 2016-2021 Based on the Results of a Single Center Study
AUTHORS:
Norayr Nver Ghukasyan
KEYWORDS:
Caesarean Section Rates, Armenia
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.1,
January
20,
2023
ABSTRACT: Background: The caesarean section rate is an important factor that characterizes the
effectiveness of the obstetric service. The large variability of the initial
state of women in labor and the variety of indications for surgery does not
allow us to identify the main determinants. We attempted to determine and
analyzed the first data on the structure and frequency of caesarean section in
Armenia in the hospital of the Erebоuni multidisciplinary clinic before the introduction
of the M. Robson scale. Methodology: We conducted a retrospective study
of the history of childbirth in 38,111
patients registered at the Erebouni Medical Center for the period 2016-2021.
The materials of the study were case histories, hospitalization materials and
annual reports. Results: According to the obtained data, 80.5% of
caesarean section operations were performed as planned. Only 14% of pregnant
women were delivered by caesarean section according to absolute indications,
the frequency of that in this maternity hospital increased from 36.77% to
44.95% over the analyzed period Conclusion: Thorough psychoprophylactic
preparation of pregnant women for childbirth, including those with a scar on
the uterus after a previous cesarean section, can ensure a steady desire of
women in labor for vaginal delivery, full mobilization of their own
capabilities, and more trusting cooperation with medical staff.