Caesarean section, vaginal instrumental delivery and perineal morbidity in the Slovak Republic in the years 2007–2018

Czech version

Authors: Miroslav Korbeľ ¹; A. Krištúfková ¹; A. Adamec ¹; M. Vargová ¹; P. Kaščák ²; Z. Nižňanská ¹
Authors‘ workplace: I. gynekologicko-pôrodnícka klinika LF UK a UN Bratislava, Slovenská republika ¹; Gynekologicko-pôrodnícka klinika UAD a FN Trenčín, Slovenská republika ²
Published in: Ceska Gynekol 2022; 87(2): 80-86
Category:
doi: https://doi.org/10.48095/cccg202280

Overview

Objective: Analysis of caesarean section, vaginal instrumental deliveries and severe perineal morbidity in the Slovak Republic in the years 2007–2018. Methods: The analysis of prospectively collected caesarean section and vaginal instrumental delivery data in the years 2007–2018, and episiotomies and severe perineal morbidity data in the years 2008–2018 from obstetrics hospitals in the Slovak Republic. Results: Caesarean section rate progressively increased from 24.1% in 2007 up to 30.8% in 2013 and decreased to 29.6% in 2018. Vacuum-extraction frequency was 1.3% in 2007 and increased up to 2.0% till 2018. Forceps frequency decreased since 2008–2018 from 0.56% to 0.43%. In the years 2008–2018, frequency of perineal tears of the 3^rd and 4^th degree increased from 0.4% to 0.8%. Frequency of episiotomies decreased in the years 2008–2018 from 74.7% to 47.7%. Conclusion: The highest caesarean section rate in the Slovak Republic – 30.8% occurred in 2013, but slowly decreased in the following years. The frequency of vacuum extraction increased and forceps decreased. Frequency of episiotomies had decreased and severe perineal tears held an increasing trend.

Keywords:

episiotomy – caesarean section – forceps – vacuum extraction – 3rd and 4th degree perineal tears

Sources

1. Korbeľ M, Borovský M, Danko J et al. Regionálna analýza perinatálnych výsledkov v SR za rok 2007. Gynekol prax 2009; 7 (1): 9–14.

2. Korbeľ M, Borovský M, Danko J et al. Analýza perinatálnych výsledkov v SR za rok 2008. Gynekol prax 2010; 8 (1): 37–43.

3. Korbeľ M, Borovský M, Danko J et al. Analýza perinatálnych výsledkov v SR za rok 2009. Gynekol prax 2010; 8 (4): 193–199.

4. Korbeľ M, Borovský M, Danko J et al. Analýza perinatálnych výsledkov v SR za rok 2010. Gynekol prax 2011; 9 (2): 95–102.

5. Korbeľ M, Borovský M, Danko J et al. Analýza perinatologických výsledkov Slovenskej republiky v rokoch 2007–2009. Ceska Gynekol 2011; 76 (1): 18–24.

6. Korbeľ M, Borovský M, Danko J et al. Analýza materskej morbidity v Slovenskej republike v roku 2011. Gynekol prax 2013; 11 (1): 20–24.

7. Korbeľ M, Borovský M, Danko J et al. Analýza materskej morbidity v Slovenskej republike v roku 2012. Gynekol prax 2014; 12 (1): 13–19.

8. Korbeľ M, Borovský M, Danko J et al. Analýza materskej morbidity v Slovenskej republike v roku 2013. Gynekol prax 2015; 13 (4): 160–166.

9. Korbeľ M, Borovský M, Danko J et al. Analýza materskej morbidity v Slovenskej republike v roku 2014. Gynekol prax 2016; 14 (2): 66–72.

10. Korbeľ M, Némethová B, Borovský M et al. Incidencia cisárskeho rezu v Slovenskej republike v rokoch 2007–2015. Gynekol prax 2016; 14 (2): 84–90.

11. Korbeľ, M, Krištúfková, A, Dugátová, M et al. Analýza materskej morbidity v Slovenskej republike v roku 2015. Gynekol prax 2017; 15 (1): 18–24.

12. Korbeľ M, Krištúfková A, Dugátová M et al. Analýza materskej morbidity a mortality v Slovenskej republike v rokoch 2007–2012. Ceska Gynekol 2017; 82 (1): 6–15.

13. Korbeľ M, Krištúfková A, Dugátová M et al. Analýza materskej morbidity v Slovenskej republike v roku 2015. Gynekol prax 2017; 15 (1): 18–24.

14. Korbeľ M, Havalda A, Nižňanská Z et al. Incidencia epiziotómií v Slovenskej republike v rokoch 2008–2015. Gynekol prax 2017; 15 (1): 40–45.

15. Korbeľ M, Krištúfková A, Daniš J et al. Materská morbidita v Slovenskej republike v roku 2016. Gynekol prax 2018; 16 (1): 19–26.

16. Korbeľ M, Krištúfková A, Daniš J et al. Materská morbidita v Slovenskej republike v roku 2017. Gynekol prax 2019; 17 (2): 75–82.

17. Korbeľ M, Krištúfková A, Daniš J et al. Materská morbidita a mortalita v Slovenskej republike v rokoch 2007–2015. Ceska Gynekol 2019; 84 (2): 129–139.

18. Korbeľ M, Adamec A, Vargová M et al. Materská morbidita v Slovenskej republike v roku 2018. I. – operačné pôrody. Gynekol prax 2020; 18 (2): 73–77.

19. Korbeľ M, Krištúfková A, Daniš J et al. Materská morbidita v Slovenskej republike v roku 2018. II. – perineálna a závažná materská morbidita. Gynekol prax 2020; 18 (2): 78–83.

20. Korbeľ M, Adamec A, Vargová M et al. Audit cisárskeho rezu v Slovenskej republike v rokoch 2007–2019. Gynekol prax 2021; 19 (2): 89–96.

21. Korbeľ M, Adamec A, Vargová M et al. Audit epiziotómií v Slovenskej republike v rokoch 2008–2019. Gynekol prax 2021; 19 (2): 98–106.

22. Euro-Peristat Project with SCPE and EUROCAT. European Perinatal Health Report. Health and care of pregnant women and babies in Europe in 2010. 2013 [online]. Available from: www.europeristat.com.

23. Euro-Peristat Project with SCPE, EUROCAT, EURONEOSTAT. European Perinatal Health Report 2008. 2004 [online]. Available from: www.europeristat.com.

24. Euro-Peristat Project. European Perinatal Health Report. Core indicators of the health and care of pregnant women and babies in Europe in 2015. 2018 [online]. Available from: www.europeristat.com.

25. Betran AP, Torloni MR, Zhang J et al. What is the optimal rate of caesarean section at population level? A systematic review of ecologic studies. Reprod Health 2015; 12: 57. doi: 10.1186/s12978-015-0043-6.

26. Betrán, AP, Ye J, Molle AB et al. The increasing trend in caesarean section rates: global, regional and national estimates: 1990–2014. PLoS ONE 2016; 11 (2): e0148343. doi: 10.1371/journal.pone.0148343.

27. Boerma T, Ronsmans C, Melesse DY et al. Global epidemiology of use of and disparities in cesarean sections. Lancet 2018; 392 (10155): 1341–1348. doi: 10.1016/S0140-6736 (18) 319 28-7.

28. World Health Organization. Statement on Caesarean Section Rates. 2015 [online]. Available from: https: //www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en/.

29. World Health Organization. Robson Classification: Implementation manual. Geneva: World Health Organization. 2017 [online]. Available from: https: //www.who.int/reproductivehealth/publications/maternal_perinatal_health/robson-classification/en/.

30. Carroli G, Mignini L. Episiotomy for vaginal birth. Cochrane Database Syst Rev 2009; 1: CD0 00081. doi: 10.1002/14651858.CD000081.pub.2

31. Blondel B, Alexander S, Bjarnadóttir RI et al. Variations in rates of severe perineal tears and episiotomies in 20 European countries: a study based on routine national data in Euro-Peristat Project. Acta Obstet Gynecol Scand 2016; 95 (7): 746–754. doi: 10.1111/aogs.12894.