COMPARATIVE CHARACTERISTICS OF DELIVERY METHODS IN OBSTETRIC HOSPITALS OF THE SECOND LEVEL IN KHABAROVSK CITY
The article presents the comparative analysis of a total number of natural deliveries and operational activities - Cesarean section in obstetrical departments and hospitals of the second level in Khabarovsk city for five years from 2015 to 2019. To analyze the frequency of Caesarian sections and its causes and indications reports of delivery homes N1, N2 and N4 for the mentioned period were studied. Based on the conducted comparative analysis of surgical activity for the studied period in the obstetrical hospitals of the second level in Khabarovsk a total number of deliveries was declining in dynamics. At the same time, the number of Caesarian sections remains the same comprising averagely 22, 06-34, 42 % of the total number of deliveries. The highest Caesarian section rate is observed in delivery home № 1, (31, 01-35, 71 %) (p<0,01). At the same time, in the period 2015-2019, in delivery home № 1, a tendency to a reliable decrease in Caesarian sections volume was observed by 12,09±0,79 %, in delivery home № 2 this indicator remains practically without changes (р>0,05), in delivery home № 4 a reliable increase in Caesarian section surgery by 9,44±1,01 % was noted. The main indications to Caesarian section in the obstetrical hospital of the second level in Khabarovsk are scar on uterus after previous CS (23,74±2,59 %), combined (several indications) (16,25±6,19 %), labor activity anomalies (13,97±0,84 %), clinically narrow pelvis (12,28±3,05 %), fetus distress (acute fetal hypoxia) (6,42±4,05 %).