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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

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Published on: September 12, 2025

[Trends in operative delivery rates].

M Vetr¹

¹Gynekologicko porodnická klinika FN a LF UP Olomouc. vetrm@fnol.cz

Ceska Gynekologie

|January 13, 2010

Summary

Operative vaginal delivery rates in Olomouc are higher than the Czech Republic average, while caesarean sections show an upward trend. Changes in patient risk profiles do not fully explain the rise in caesarean sections, suggesting evolving obstetric practices contribute significantly.

Area of Science:

Obstetrics and Gynecology
Epidemiology
Public Health

Background:

Operative vaginal delivery and caesarean section rates vary globally and nationally.
Understanding local trends is crucial for optimizing maternal and neonatal outcomes.
Faculty Hospital in Olomouc serves as a key healthcare provider in the region.

Purpose of the Study:

To analyze trends in operative vaginal delivery and caesarean section rates at Faculty Hospital in Olomouc.
To compare these rates with national averages in the Czech Republic.
To identify risk factors associated with caesarean sections.

Main Methods:

Retrospective epidemiological study design.
Analysis of obstetric medical records from 1993 to 2008.

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Published on: September 12, 2025

Statistical analysis including frequency, trend analysis (Cox-Stuart test), and risk factor assessment.

Main Results:

Total births: 26,679. Caesarean sections: 22.2%, Ventouse: 2.8%, Forceps: 2.0%.
Operative vaginal delivery rates exceeded the Czech Republic average but stabilized post-1990s.
Caesarean section rates demonstrated a significant upward trend (P=0.035).
Key risk factors for caesarean sections included low birth weight (<2.5 kg), multiple pregnancies, previous caesarean sections, and maternal age >35 years, collectively accounting for a mean of 52.91% of abdominal deliveries.

Conclusions:

Olomouc exhibits a higher frequency of operative interventions compared to the Czech Republic average.
Demographic shifts in patient risk profiles do not fully account for the increasing caesarean section rates.
Evolving obstetric practices are likely significant contributors to the rise in invasive procedures.