[Operative deliveries in Clinic of Gynecology and Obstetrics Tuzla, Bosnia and Herzegovina, during 1986-2005].

UNLABELLED

The aim of this paper was to determine the incidence of operative deliveries and to make a comparison between the incidence rate in the pre-war (1986-1991), war (1992-1995) and post-war (1996-2005) periods.

METHODS

We retrospectively collected data from the databases of University Clinic of Gynecology and Obstetrics Tuzla for the period of twenty years (January 1st, 1986 - December 31st, 2005).

RESULTS

The frequency of Cesarian section was in constant rise since 1990 when it surpassed 11%, with the exception of two war years 1992 and 1993 when it was 9.5%. The highest frequency was registered in 2004 - 20.7%. Statistically significant difference in Cesarean section was found between period 2001-2005 (18.5%) and other analysed periods. Vacuum extraction methods were most used in 1989 - 3.7%, and least in 2004 - 1.1%. In 1991, 50 - 0.8% of deliveries were finished with forceps, and since 2000 this method has not been used in any delivery. The frequency of pelvic presentation for the analyzed period varied less and was between 2.9% and 5.1%.

CONCLUSION

During the period of twenty years at the Clinic of Gynecology and Obstetrics in Tuzla a significant increase in the incidence of deliveries finished with Cesarean section was found.