Elshani Brikene, Daci Armond, Gashi Sanije, Lulaj Shefqet
Clinic of Gynecology and Obstetrics, University Clinical Center of Kosovo, Prishtina ; Medical Faculty, University of Prishtina, Prishtina, Kosovo.
Acta Inform Med. 2012 Dec;20(4):244-8. doi: 10.5455/aim.2012.20.244-248.
As in most countries of the world also at Kosovo the rate of Cesarean section from year to year is increasing.
The main purpose of this paper was to present the incidence of births completed by Caesarean section at the Clinic of Gynecology and Obstetrics of University Clinical Center of Kosovo in Prishtinë.
This study is retrospective, namely its made by collecting epidemiological data from patients' histories that completed birth by Caesarean section for the period 2000-2006 in this clinic.
During this period, 14 maternal deaths were recorded during or after Caesarean section. Besides this, 14 lethal outcomes, the object of our study was 84 mothers which completed birth by Caesarean section and which are best used as a control group. The average age of mothers who died during or after Caesarean section was 32.1 years (SD ± 4.9). Youngest in this group was 24 years old and oldest 42 years. While the average age of mothers from the control group was 30.6 years (SD ± 5.9). Youngest was 19 and oldest 43 years, without significant difference. Most mothers included in the survey had more than one indication for Caesarean section. The most frequent indication was PIH syndrome with 33.7% and previous Caesarean section in 32.7%. Then with the participation of 12.2% were abruption of the placenta and disproportio feto pelvinea, 11.2% pelvinea and placenta praevia presentation, 10.2% parturiens while other indications were much rarer with less than 10% participation.
Based on this we can conclude that the risk of the Caesarean section is high.
和世界上大多数国家一样，科索沃的剖宫产率逐年上升。
本文的主要目的是介绍科索沃普里什蒂纳大学临床中心妇产科诊所剖宫产完成分娩的发生率。
本研究为回顾性研究，即通过收集该诊所在2000 - 2006年期间剖宫产完成分娩患者病历中的流行病学数据进行研究。
在此期间，记录到14例产妇在剖宫产期间或之后死亡。除此之外，在14例致命结局中，我们的研究对象是84例剖宫产完成分娩的母亲，她们最好用作对照组。剖宫产期间或之后死亡的母亲平均年龄为32.1岁（标准差±4.9）。该组中最年轻的24岁，最年长的42岁。而对照组母亲的平均年龄为30.6岁（标准差±5.9）。最年轻的19岁，最年长的43岁，无显著差异。纳入调查的大多数母亲有不止一项剖宫产指征。最常见的指征是妊娠高血压综合征，占33.7%，既往剖宫产占32.7%。然后胎盘早剥和头盆不称占12.2%，骨盆狭窄和前置胎盘占11.2%，难产占10.2%，而其他指征则少见得多，占比不到10%。
基于此我们可以得出结论，剖宫产风险很高。
