{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,12,10]],"date-time":"2022-12-10T06:01:53Z","timestamp":1670652113203},"reference-count":7,"publisher":"ALUNA","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wiad Lek"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>The aim: Analyze the frequency and structure of indications for cesarean section in municipal non-profit enterprise \u201cUzhgorod city maternity hospital\u201d of Uzhgorod city council to determine promising ways to optimize the tactics of childbirth. \nMaterials and methods: A comparative clinical and statistical analysis of the frequency and indications for caesarean section for 2011-2015 (first group) and 2016-2020 (second group) years according to the Robson system classification was conducted. \nResults: The increase in caesarean section had no effect on overall perinatal mortality. The main reserve for reducing the incidence of cesarean section is the primi- and se\u00accundipara women with full-term singleton pregnancy, the cephalic presentation of the fetus. Increasing the proportion of vaginal births in women with a scar on the uterus is possible through careful selection of patients for vaginal birth. The high frequency of cesarean section in groups of women with premature births, multiple pregnancies, pelvic preterm births or abnormal preterm births is justified by modern obstetric approaches and does not significantly affect the overall frequency of cesarean section due to the small number of these groups. \nConclusions: The reserve for reducing the frequency of cesarean sections is the standardization of medical care in obstetrics and also in social and legal protection of an obstetrician and gynecologist.<\/jats:p>","DOI":"10.36740\/wlek202210132","type":"journal-article","created":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T19:31:33Z","timestamp":1670614293000},"page":"2486-2490","source":"Crossref","is-referenced-by-count":0,"title":["OPTIMIZATION OF THE FREQUENCY AND STRUCTURE OF CESAREAN SECTIONS BASED ON ROBSON\u2019S QUALIFICATION SYSTEM"],"prefix":"10.36740","volume":"75","author":[{"given":"Yuriy Y.","family":"Bobik","sequence":"first","affiliation":[{"name":"UZHHOROD NATIONAL UNIVERSITY, UZHHOROD, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valeriy V.","family":"Korsak","sequence":"additional","affiliation":[{"name":"UZHHOROD NATIONAL UNIVERSITY, UZHHOROD, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irina \u0406.","family":"Packan","sequence":"additional","affiliation":[{"name":"UZHHOROD NATIONAL UNIVERSITY, UZHHOROD, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22436","published-online":{"date-parts":[[2022]]},"reference":[{"key":"ref0","unstructured":"1. Moskvyak-Lesnyak D.Ye., Krasivs'ka A.V., Zhyhalyak I.T. Vyvchennya faktoriv, yaki vplyvayut' na zrostannya rivnya kesarevoho roztynu, za period 2017-2018 rr. [Study of factors influencing the growth of caesarean section, for the period 2017-2018.] Visnyk sotsial'noyi hihiyeny ta orhanizatsiyi okhorony zdorov\"ya Ukrayiny\/ 2019;3(81):25- 29. (In Ukrainian)."},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"2. Gur\u2019yev D. L., Okhapkin M. B., Gur\u2019yeva M. S. et al. Snizheniye chastoty kesareva secheniya i perinatal\u2019nykh poter\u2019 v statsionare urovnya 3A s ispol\u2019zovaniyem klassifikatsii Robsona, [Reducing the rate of caesarean section and perinatal losses in a level 3A hospital using classification Robson] Doktor.Ru\/ 2019;4(159): 8-13. ( In Russian).","DOI":"10.31550\/1727-2378-2019-159-4-8-13"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"3. Tanaka K., Mahomed K. 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Obstetrics & Gynecology. 2016;127:1315.","DOI":"10.1097\/01.aog.0000483531.18218.6d"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"7. Boatin A.A., Cullinane F., Torloni M.R., Betr A.P. Audit and feedback using the Robson classification to reduce caesarean section rates: a systematic review. Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard. BJOG. 2018;125:36-42.","DOI":"10.1111\/1471-0528.14774"}],"container-title":["Wiadomo\u015bci Lekarskie"],"original-title":[],"language":"en","deposited":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T19:35:53Z","timestamp":1670614553000},"score":1,"resource":{"primary":{"URL":"https:\/\/wiadlek.pl\/wp-content\/uploads\/archive\/2022\/10\/WLek202210132.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":7,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022]]},"published-print":{"date-parts":[[2022,10]]}},"URL":"https:\/\/doi.org\/10.36740\/wlek202210132","archive":["Internet Archive"],"relation":{},"ISSN":["0043-5147"],"issn-type":[{"value":"0043-5147","type":"print"}],"subject":[],"published":{"date-parts":[[2022]]}}}