Tom 4, Nr 3 (2019)
Praca badawcza (oryginalna)
Opublikowany online: 2019-09-30
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1586
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Cięcie cesarskie. Rosnący odsetek i zmiana trendów we wskazaniach
Ginekologia i Perinatologia Praktyczna 2019;4(3):113-122.
Streszczenie
Wstęp. W ostatnich latach na całym świecie zauważalnie wzrósł odsetek cięć cesarskich. Podejmuje się wiele wysiłków, aby zrozumieć to zjawisko, jednym z nich jest analiza zmieniających się na przestrzeni lat wskazań do operacyjnego zakończenia ciąży.
Cel badań. Analiza i porównanie wskazań do cięcia cesarskiego na przestrzeni dziesięciu lat.
Materiały i metody. Grupę badaną stanowiły kobiety rodzące w Klinice Położnictwa i Ginekologii SPSK2 w Szcze¬cinie w latach 2004–2008 i 2014–2018. Spośród 14 112 porodów wyodrębniono te, które odbyły się poprzez cesarskie cięcie. Dokonano analizy 1647 porodów w latach 2004–2008 oraz 4296 w latach 2014–2018. Wska¬zania podzielono na położnicze i pozapołożnicze.
Wyniki. Zaobserwowano wzrost odsetka cięć cesarskich w ciągu dekady — z 26,12% na 55,03%. Średni wiek kobiet, zarówno pierworódek jak i wieloródek istotnie wzrósł. Wśród wskazań położniczych w latach 2004–2008 najczęściej wykonywano cięcie cesarskie z powodu braku postępu porodu (26,9%), w latach 2014–2018 wiodące wskazanie to stan po poprzednim cięciu cesarskim (34,23%). Najczęstsze pozapołożnicze przyczyny operacyj¬nego zakończenia ciąży w latach 2004–2008 to: okulistyczne (43,64%), ortopedyczne (16,36%), kardiologiczne (13,09%), a w latach 2014–2018: psychiatryczne (35,31%) wśród których pojawiło się wcześniej nieobserwowane wskazanie — tokofobia, ortopedyczne (14,42%), i okulistyczne (11,73%).
Wnioski. Odsetek cięć cesarskich wzrósł ponad dwukrotnie na przestrzeni dziesięciu lat. Przebyte w przeszłości cięcie cesarskie jest obecnie dominującym wskazaniem położniczym. Tokofobia staje się istotnym problemem położniczym, zwłaszcza wśród pierworódek.
Słowa kluczowe: poródcięcie cesarskiewskazaniatokofobia
Referencje
- Korniluk A, Kosiński P, Wielgoś M. Intraoperative damage to the urinary bladder during cesarean section — literature review. Ginekologia Polska. 2017; 88(3): 161–165.
- Australian Institute of Health and Welfare. Australian College of Midwives Incorporated Journal. 1995; 8(3): 18.
- Keag O, Norman J, Stock S. Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: Systematic review and meta-analysis. PLOS Medicine. 2018; 15(1): e1002494.
- Getahun D, Oyelese Y, Salihu H, et al. Previous Cesarean Delivery and Risks of Placenta Previa and Placental Abruption. Obstetrics & Gynecology. 2006; 107(4): 771–778.
- Hannah M, Hannah W, Hewson S, et al. Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. The Lancet. 2000; 356(9239): 1375–1383.
- Glezerman M. Five years to the term breech trial: The rise and fall of a randomized controlled trial. American Journal of Obstetrics and Gynecology. 2006; 194(1): 20–25.
- Hannah M, Whyte H, Hannah W, et al. Maternal outcomes at 2 years after planned cesarean section versus planned vaginal birth for breech presentation at term: The international randomized Term Breech Trial. American Journal of Obstetrics and Gynecology. 2004; 191(3): 917–927.
- Kotaska A. Commentary: Routine Cesarean Section for Breech: The Unmeasured Cost. Birth. 2011; 38(2): 162–164.
- Bick D. National Collaborating Centre for Women's and Children's Health, National Institute for Clinical Excellence. Caesarean Section. Clinical Guideline. National Collaborating Centre for Women's and Children's Health: commissioned by the National Institute for Clinical Excellence. Worldviews Evid Based Nurs. 2004; 1(3): 198–199.
- Vayssière C, Benoist G, Blondel B, et al. Twin pregnancies: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians (CNGOF). European Journal of Obstetrics & Gynecology and Reproductive Biology. 2011; 156(1): 12–17.
- Hofmeyr G, Barrett J, Crowther C. Planned caesarean section for women with a twin pregnancy. Cochrane Database of Systematic Reviews. 2011.
- Dodd J, Deussen A, Grivell R, et al. Elective birth at 37 weeks’ gestation for women with an uncomplicated twin pregnancy. Cochrane Database of Systematic Reviews. 2014.
- Rossi AC, Mullin PM, Chmait RH. Neonatal outcomes of twins according to birth order, presentation and mode of delivery: a systematic review and meta-analysis*. BJOG: An International Journal of Obstetrics & Gynaecology. 2011; 118(5): 523–532.
- Asztalos EV, Hannah ME, Hutton EK, et al. Twin Birth Study Collaborative Group, Twin Birth Study Collaborative Group. A randomized trial of planned cesarean or vaginal delivery for twin pregnancy. N Engl J Med. 2013; 369(14): 1295–1305.
- Dodd J, Crowther C, Grivell R, et al. Elective repeat caesarean section versus induction of labour for women with a previous caesarean birth. Cochrane Database of Systematic Reviews. 2014.
- Dodd J, Crowther C, Huertas E, et al. Planned elective repeat caesarean section versus planned vaginal birth for women with a previous caesarean birth. Cochrane Database of Systematic Reviews. 2013.
- Betran AP, Torloni MR, Zhang JJ, et al. WHO Statement on Caesarean Section Rates. BJOG: An International Journal of Obstetrics & Gynaecology. 2015; 123(5): 667–670.
- Boerma T, Ronsmans C, Melesse D, et al. Global epidemiology of use of and disparities in caesarean sections. The Lancet. 2018; 392(10155): 1341–1348.
- Raport Euro Peristat. ; 2015.
- Macfarlane AJ, Blondel B, Mohangoo AD, et al. Euro-Peristat Scientific Committee. Wide differences in mode of delivery within Europe: risk-stratified analyses of aggregated routine data from the Euro-Peristat study. BJOG. 2016; 123(4): 559–568.
- Troszyński M. Umieralność okołoporodowa wczesna (0-6) płodów i noworodków Polska – 2010 oraz 1999-2010. Warszawa: Materiały Instytut Matki i Dziecka. ; 2010.
- Dz U. Nr 17, poz. 78, z późn. zm. Sprawozdanie Rady Ministrów z wykonywania oraz skutkach stosowania w roku 2012 Ustawy z dnia 7 stycznia 1993 r. o planowaniu rodziny, ochronie płodu ludzkiego i warunkach dopuszczalności przerywania ciąży. Warszawa. ; 2014.
- Barton J, Bergauer N, Jacques D, et al. Does advanced maternal age affect pregnancy outcome in women with mild hypertension remote from term? American Journal of Obstetrics and Gynecology. 1997; 176(6): 1236–1243.
- Timofeev J, Reddy U, Huang CC, et al. Obstetric Complications, Neonatal Morbidity, and Indications for Cesarean Delivery by Maternal Age. Obstetrics & Gynecology. 2013; 122(6): 1184–1195.
- Rydahl E, Declercq E, Juhl M, et al. Cesarean section on a rise—Does advanced maternal age explain the increase? A population register-based study. PLOS ONE. 2019; 14(1): e0210655.
- Sinnott SJ, Brick A, Layte R, et al. National Variation in Caesarean Section Rates: A Cross Sectional Study in Ireland. PLOS ONE. 2016; 11(6): e0156172.
- Richards MK, Flanagan MR, Littman AJ, et al. Primary cesarean section and adverse delivery outcomes among women of very advanced maternal age. Journal of Perinatology. 2016; 36(4): 272–277.
- Bayrampour H, Heaman M, Duncan K, et al. Advanced maternal age and risk perception: A qualitative study. BMC Pregnancy and Childbirth. 2012; 12(1).
- Bayrampour H, Heaman M. Comparison of Demographic and Obstetric Characteristics of Canadian Primiparous Women of Advanced Maternal Age and Younger Age. Journal of Obstetrics and Gynaecology Canada. 2011; 33(8): 820–829.
- Bell J, Campbell D, Graham W, et al. Can obstetric complications explain the high levels of obstetric interventions and maternity service use among older women? A retrospective analysis of routinely collected data. BJOG: An International Journal of Obstetrics and Gynaecology. 2001; 108(9): 910–918.
- HERSTAD L, KLUNGSØYR K, SKJAERVEN R, et al. Maternal age and elective cesarean section in a low-risk population. Acta Obstetricia et Gynecologica Scandinavica. 2012; 91(7): 816–823.
- Ludford I, Scheil W, Tucker G, et al. Pregnancy outcomes for nulliparous women of advanced maternal age in South Australia, 1998-2008. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2012; 52(3): 235–241.
- Luke B, Brown M. Elevated risks of pregnancy complications and adverse outcomes with increasing maternal age. Human Reproduction. 2007; 22(5): 1264–1272.
- Timofeev J, Reddy U, Huang CC, et al. Obstetric Complications, Neonatal Morbidity, and Indications for Cesarean Delivery by Maternal Age. Obstetrics & Gynecology. 2013; 122(6): 1184–1195.
- Klemetti R, Gissler M, Sainio S, et al. Associations of maternal age with maternity care use and birth outcomes in primiparous women: a comparison of results in 1991 and 2008 in Finland. BJOG: An International Journal of Obstetrics & Gynaecology. 2013; 121(3): 356–362.
- Operative vaginal delivery: Guideline No. 26. London: Royal College of Obstetricians and Gynaecology. ; 2011.
- Herstad L, Klungsøyr K, Skjærven R, et al. Elective cesarean section or not? Maternal age and risk of adverse outcomes at term: a population-based registry study of low-risk primiparous women. BMC Pregnancy and Childbirth. 2016; 16(1).
- Allen V, O’Connell C, Baskett T. Maternal Morbidity Associated With Cesarean Delivery Without Labor Compared With Induction of Labor at Term. Obstetrics & Gynecology. 2006; 108(2): 286–294.
- NILSEN A, WALDENSTRÖM U, HJELMSTED A, et al. Characteristics of women who are pregnant with their first baby at an advanced age. Acta Obstetricia et Gynecologica Scandinavica. 2012; 91(3).
- Biler A, Ekin A, Ozcan A, et al. Is it safe to have multiple repeat cesarean sections? A high volume tertiary care center experience. Pak J Med Sci. 2017; 33(5): 1074–1079.
- Wielgos M, Bomba-Opoń D, Breborowicz GH, et al. Recommendations of the Polish Society of Gynecologists and Obstetricians regarding caesarean sections. Ginekol Pol. 2018; 89(11): 644–657.
- Crowther C, Dodd J, Hiller J, et al. Planned Vaginal Birth or Elective Repeat Caesarean: Patient Preference Restricted Cohort with Nested Randomised Trial. PLoS Medicine. 2012; 9(3): e1001192.
- Mylonas I, Friese K. Indications for and Risks of Elective Cesarean Section. Deutsches Aerzteblatt Online. 2015.
- Elzahaf R, Ajroud S. Prevalence and indication of cesarean section in Al-Wahda Hospital, Derna, Libya: A retrospective study. Libyan Journal of Medical Sciences. 2018; 2(2): 68.
- Hafeez M, Yasin A, Badar N, et al. Prevalence and Indications of Caesarean Section in a Teaching Hospital. JIMSA January-March. 2014; 27(1): 15–16.
- Homer C, Johnston R, Foureur M. Birth after caesarean section: changes over a nine-year period in one Australian state. Midwifery. 2011; 27(2): 165–169.
- Barčaitė E, Kemeklienė G, Railaitė DR, et al. Cesarean section rates in Lithuania using Robson Ten Group Classification System. Medicina (Kaunas). 2015; 51(5): 280–285.
- Betrán AP, Gulmezoglu AM, Robson M, et al. WHO global survey on maternal and perinatal health in Latin America: classifying caesarean sections. Reprod Health. 2009; 6: 18.
- Myles TD, Santolaya J. Maternal and neonatal outcomes in patients with a prolonged second stage of labor. Obstet Gynecol. 2003; 102(1): 52–58.
- Zhang J, Troendle J, Mikolajczyk R, et al. The Natural History of the Normal First Stage of Labor. Obstetrics & Gynecology. 2010; 115(4): 705–710.
- Singh S, Kohli U, Vardhan S. Management of prolonged second stage of labor. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2018; 7(7): 2527.
- Mishanina E, Rogozinska E, Thatthi T, et al. Use of labour induction and risk of cesarean delivery: a systematic review and meta-analysis. Canadian Medical Association Journal. 2014; 186(9): 665–673.
- Wood S, Cooper S, Ross S. Does induction of labour increase the risk of caesarean section? A systematic review and meta-analysis of trials in women with intact membranes. BJOG: An International Journal of Obstetrics & Gynaecology. 2013; 121(6): 674–685.
- Stock S, Ferguson E, Duffy A, et al. Outcomes of Induction of Labour in Women with Previous Caesarean Delivery: A Retrospective Cohort Study Using a Population Database. PLoS ONE. 2013; 8(4): e60404.
- Zhang J, Troendle J, Reddy U, et al. Contemporary cesarean delivery practice in the United States. American Journal of Obstetrics and Gynecology. 2010; 203(4): 326.e1–326.e10.
- Choudhury AP, Dawson AJ. Trends in indications for caesarean sections over 7 years in a Welsh district general hospital. J Obstet Gynaecol. 2009; 29(8): 714–717.
- Łabiak B, Żwirska-Lembrych H, Łabiak T, et al. Porównanie wskazań pozapołożniczych do cięcia cesarskiego w dwóch trzyletnich okresach 1993-1995 i 2003- 2005. Ginekol Pol. 2006; 77: 89–94.
- Socha MW, Piotrowiak I, Jagielska I, et al. Retrospektywna analiza patologii narządu wzroku i częstości cięć cesarskich ze wskazań okulistycznych w latach 2000-2008 w materiale własnym. Ginekol Pol. 2010; 81: 188–191.
- Konsensus okulistyczno-położniczy w sprawie wskazań do rozwiązania porodu drogą cięcia cesarskiego z powodu zmian w narządzie wzroku. https://pto.com.pl/storage/guidelines/25/0bcda1d82ab30a801cef16117263d51c.pdf.
- Saisto T, Halmesmäki E. Fear of childbirth: a neglected dilemma. Acta Obstet Gynecol Scand. 2003; 82(3): 201–208.
- Laursen M, Hedegaard M, Johansen C. Fear of childbirth: predictors and temporal changes among nulliparous women in the Danish National Birth Cohort. BJOG: An International Journal of Obstetrics and Gynaecology. 2008; 115(3): 354–360.
- Van Pa, Ryding EL, Schei B, et al. 2012. Fear of childbirth and mode of delivery in six European countries: The BIDENS study. 22nd European Congress of Obstetrics and Gynaecology (EBCOG), Book of Abstracts. (S14.4).
- Garthus-Niegel S, Soest Tv, Vollrath M, et al. The impact of subjective birth experiences on post-traumatic stress symptoms: a longitudinal study. Archives of Women's Mental Health. 2012; 16(1): 1–10.
- Hofberg K, Brockington I. Tokophobia: An unreasoning dread of childbirth. British Journal of Psychiatry. 2018; 176(1): 83–85.
- HOFBERG K, WARD M. Fear of Childbirth, Tocophobia, and Mental Health in Mothers: The Obstetric–Psychiatric Interface. Clinical Obstetrics and Gynecology. 2004; 47(3): 527–534.
- Roosevelt L, Low LK. Exploring Fear of Childbirth in the United States Through a Qualitative Assessment of the Wijma Delivery Expectancy Questionnaire. J Obstet Gynecol Neonatal Nurs. 2016; 45(1): 28–38.
- Ternström E, Hildingsson I, Haines H, et al. Higher prevalence of childbirth related fear in foreign born pregnant women--findings from a community sample in Sweden. Midwifery. 2015; 31(4): 445–450.
- Christiaens W, Velde SV, Bracke P. Pregnant Women's Fear of Childbirth in Midwife- and Obstetrician-Led Care in Belgium and the Netherlands: Test of the Medicalization Hypothesis. Women & Health. 2011; 51(3): 220–239.
- Rouhe H, Salmela-Aro K, Halmesmäki E, et al. Fear of childbirth according to parity, gestational age, and obstetric history. BJOG. 2009; 116(1): 67–73.
- O'Connell M, Leahy-Warren P, Khashan A, et al. Worldwide prevalence of tocophobia in pregnant women: systematic review and meta-analysis. Acta Obstetricia et Gynecologica Scandinavica. 2017; 96(8): 907–920.
- Penna L, Arulkumaran S. Cesarean section for non-medical reasons. International Journal of Gynecology & Obstetrics. 2003; 82(3): 399–409.
- Ayers S. Fear of childbirth, postnatal post-traumatic stress disorder and midwifery care. Midwifery. 2014; 30(2): 145–148.
- Størksen H, Garthus-Niegel S, Vangen S, et al. The impact of previous birth experiences on maternal fear of childbirth. Acta Obstetricia et Gynecologica Scandinavica. 2013; 92(3): 318–324.
- Toohill J, Creedy DK, Gamble J, et al. A cross-sectional study to determine utility of childbirth fear screening in maternity practice - An Australian perspective. Women Birth. 2015; 28(4): 310–316.
