El-Ardat Mohammad Abou, Izetbegovic Sebija, Djulabic Amin, Hozic Aldina
Clinic of Gynecology and Obstetrics, Clinical Center University of Sarajevo, Bosnia and Herzegovina.
General Hospital "Prim. Dr. Abdulah Nakas", Sarajevo, Bosnia and Herzegovina.
Mater Sociomed. 2014 Feb;26(1):53-4. doi: 10.5455/msm.2014.26.53-54. Epub 2014 Feb 20.
Caesarean section is obstetrical surgery by which through incision of the abdominal wall and the lower uterine segment performs extraction of the fetus in the advanced stages of pregnancy and childbirth ends by abdominal myomectomy. Because of its significance it is one of the most important surgical procedures performed in gynecology and obstetrics.
The goal of this study is to show the incidence of cesarean section in the Public Hospital in Travnik during 2012, and the most frequent indications for surgical completion of delivery. During 2012 at the Department of Gynecology and Obstetrics of Cantonal Hospital Travnik there was 927 deliveries.
Of the total number of births, in 115 (12.41%) of cases a caesarean section was performed, while in 812 (87.59%) delivery was completed vaginally. Descriptive analysis reveals that 55 (5.93%) women had repeated cesarean section after a previous cesarean section, while in 60 (6.47%) cases in 2012 for the first time underwent cesarean section. As the most common indications in 7.33% of the women was reported cefalopelvinea disproportion and breech presentation. At 6.67% of the women caesarean section was performed due to asphyxia and 4% due to preeclampsia. The incidence of other indications such as abruption, placenta previa, multiple pregnancy and other was less than 3%.
On the basis of the data we conclude that in the maternity hospital Travnik vaginal birth is most common. However, although the percentage of cesarean sections was much lower than in the regional maternity hospitals, we cannot ignore that the rate of caesarean sections is slowly increasing and requires that obstetricians in their practice make professional triage when setting indications for cesarean section so that a trend of surgically completed births should not reach epidemic proportions.
剖宫产是一种产科手术，通过切开腹壁和子宫下段来娩出妊娠晚期的胎儿，分娩以腹部肌瘤切除术结束。因其重要性，它是妇产科中最重要的外科手术之一。
本研究的目的是展示2012年特拉夫尼克公立医院的剖宫产发生率以及最常见的手术分娩指征。2012年，特拉夫尼克州立医院妇产科共有927例分娩。
在总出生数中，115例（12.41%）进行了剖宫产，而812例（87.59%）经阴道分娩。描述性分析显示，55名（5.93%）女性在先前剖宫产术后再次进行了剖宫产，而2012年有60例（6.47%）女性首次接受剖宫产。最常见的指征是头盆不称和臀位，占7.33%。因窒息进行剖宫产的女性占6.67%，因先兆子痫进行剖宫产的占4%。其他指征如胎盘早剥、前置胎盘、多胎妊娠等的发生率低于3%。
根据数据我们得出结论，在特拉夫尼克妇产医院，阴道分娩最为常见。然而，尽管剖宫产的比例远低于地区妇产医院，但我们不能忽视剖宫产率正在缓慢上升这一情况，这就要求产科医生在实践中确定剖宫产指征时进行专业分流，以免手术分娩的趋势达到流行程度。
