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CESARIAN SECTION - HIGHER RATE AND HIGHER CHALLENGES.
Sh Koridze1, N Kintraia1, P Machavariani1
1Tbilisi State Medical University, Georgia.
Despite increased cesarean section rates and complications, patient choice and specific medical factors influence delivery mode. Careful consideration of delivery methods is crucial, especially for first-time mothers.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Perinatal morbidity and mortality rates have remained stable.
- Cesarean section rates have increased, alongside a rise in intra- and postoperative complications.
Purpose of the Study:
- To analyze trends in cesarean section rates and associated complications.
- To discuss factors influencing delivery mode decisions, including patient autonomy and medical indications.
Main Methods:
- Review of existing evidence on perinatal outcomes and cesarean delivery.
- Discussion of various clinical factors impacting delivery choices.
Main Results:
- Increased cesarean section rates correlate with higher complication rates.
- Patient preference, prior cesarean sections, and medical conditions (e.g., macrosomia, preeclampsia) influence delivery decisions.
Conclusions:
- Non-rational cesarean section rates are linked to increased postoperative complications.
- Healthcare authorities and physicians must judiciously select delivery modes, particularly for primigravidas.
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