Vol 94, No 6 (2023)
Research paper
Published online: 2023-03-28

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The effect of anti-pandemic measures on some aspects of obstetric care in a single obstetric unit in the Slovak Republic

Jozef Zahumensky1, Petra Psenkova1, Michaela Ostatnikova1, Zuzana Chvalna1, Natalia Dominova1, Miroslava Jurcisinova1
Pubmed: 37042331
Ginekol Pol 2023;94(6):476-483.

Abstract

< pre style="margin-bottom: 6.0pt; line-height: 150%;" > < span lang="EN-GB" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;" > Objectives: < /span > < span lang="EN-GB" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;" > In many countries, various anti-pandemic interventions were adopted in 2020, which also affected obstetric practices. The aim of this study is to determine their effect on the frequency of caesarean section (CS) according to Robson classification (RC). < /span > < /pre > < pre style="margin-bottom: 6.0pt; line-height: 150%;" > < span lang="EN-GB" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;" > Material and methods: < /span > < span lang="EN-GB" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;" > Deliveries in 2019 and 2020 were retrospectively analysed. Mothers were grouped according to RC, and the frequency of CR in the different groups were compared. < /span > < /pre > < pre style="margin-bottom: 6.0pt; line-height: 150%;" > < span lang="EN-GB" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;" > Results: < /span > < span lang="EN-GB" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;" > We found a statistically significant increase in the frequency of CR in the pandemic year (20.0% vs 17.8%, p = 0.0242). When classified into RC groups, the increase in the different groups lost statistical significance. Nevertheless, the increase was most important in Robson group 5 due to maternal rejection of vaginal delivery after CR and in Robson group 2b with elective CR. In spite of our expectations, the frequency of caesarean section performed due to indication of protracted labour was not increased. < /span > < /pre > < pre style="margin-bottom: 6.0pt; line-height: 150%;" > < span lang="EN-GB" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;" > Conclusions: < /span > < span lang="EN-GB" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;" > Interventions that were implemented during the first and second waves of the pandemic were associated with increased frequency of planned caesarean sections. < /span > < /pre >

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