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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
DOI: 10.5603/GP.a2023.0024
·
Pubmed: 37042331
·
Ginekol Pol 2023;94(6):476-483.
Affiliations
  1. 2nd Department of Gynecology and Obstetrics, University Hospital Bratislava and Comenius University, Bratislava, Slovakia

open access

Vol 94, No 6 (2023)
ORIGINAL PAPERS Obstetrics
Published online: 2023-03-28

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 >

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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Keywords

anti-pandemic measures, childbirth, caesarean section, Robson classification, VBAC, TOLAC

About this article
Title

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

Journal

Ginekologia Polska

Issue

Vol 94, No 6 (2023)

Article type

Research paper

Pages

476-483

Published online

2023-03-28

Page views

1291

Article views/downloads

247

DOI

10.5603/GP.a2023.0024

Pubmed

37042331

Bibliographic record

Ginekol Pol 2023;94(6):476-483.

Keywords

anti-pandemic measures
childbirth
caesarean section
Robson classification
VBAC
TOLAC

Authors

Jozef Zahumensky
Petra Psenkova
Michaela Ostatnikova
Zuzana Chvalna
Natalia Dominova
Miroslava Jurcisinova

References (25)
  1. World Health Organization. Listings of WHO’s response to COVID-19. https://www.who.int/news/item/29-06-2020-covidtimeline (11.07.2021).
  2. Pavelka M, Van-Zandvoort K, Abbott S, et al. CMMID COVID-19 working group, Inštitút Zdravotných Analýz. The impact of population-wide rapid antigen testing on SARS-CoV-2 prevalence in Slovakia. Science. 2021; 372(6542): 635–641.
    CrossRefPubMed
  3. Renfrew MJ, Cheyne H, Craig J, et al. Sustaining quality midwifery care in a pandemic and beyond. Midwifery. 2020; 88: 102759.
    CrossRefPubMed
  4. Justman N, Shahak G, Gutzei O, et al. Lockdown with a price: the impact of the COVID-19 pandemic on prenatal care and perinatal outcomes in a tertiary care center . Isr Med Assoc J. 2020; 22(9): 533–537.
  5. Lucas DN, Bamber JH. Pandemics and maternal health: the indirect effects of COVID-19. Anaesthesia. 2021; 76 Suppl 4(Suppl 4): 69–75.
    CrossRefPubMed
  6. Kugelman N, Toledano-Hacohen M, Karmakar D, et al. Consequences of the COVID-19 pandemic on the postpartum course: Lessons learnt from a large-scale comparative study in a teaching hospital. Int J Gynaecol Obstet. 2021; 153(2): 315–321.
    CrossRefPubMed
  7. Schmidt CN, Cornejo LN, Rubashkin NA. Trends in home birth information seeking in the United States and United Kingdom during the COVID-19 pandemic. JAMA Netw Open. 2021; 4(5): e2110310–e2110310.
    CrossRefPubMed
  8. Zahumensky J, Psenkova P, Dolezal P, et al. Impact of implementing a multifaceted intervention to reduce rates of cesarean section: A quality-improvement study. Int J Gynaecol Obstet. 2020; 151(2): 244–248.
    CrossRefPubMed
  9. Robson SJ, de Costa CM. Thirty years of the World Health Organization's target caesarean section rate: time to move on. Med J Aust. 2017; 206(4): 181–185.
    CrossRefPubMed
  10. Visser GHA, Ayres-de-Campos D, Barnea ER, et al. FIGO position paper: how to stop the caesarean section epidemic. Lancet. 2018; 392(10155): 1286–1287.
    CrossRefPubMed
  11. FIGO Working Group On Challenges In Care Of Mothers And Infants During Labour And Delivery. Best practice advice on the 10-Group Classification System for cesarean deliveries. Int J Gynaecol Obstet. 2016; 135(2): 232–233.
    CrossRefPubMed
  12. Psenkova P, Bucko M, Braticak M, et al. Impact of introducing specific measures to reduce the frequency of cesarean delivery for non-obstetric indications. Int J Gynaecol Obstet. 2018; 142(1): 23–27.
    CrossRefPubMed
  13. Zahumensky J, Psenkova P, Nemethova B, et al. Evaluation of cesarean delivery rates at three university hospital labor units using the Robson classification system. Int J Gynaecol Obstet. 2019; 146(1): 118–125.
    CrossRefPubMed
  14. Bohren MA, Hofmeyr GJ, Sakala C, et al. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2017; 7(7): CD003766.
    CrossRefPubMed
  15. Kashanian M, Javadi F, Haghighi MM. Effect of continuous support during labor on duration of labor and rate of cesarean delivery. Int J Gynaecol Obstet. 2010; 109(3): 198–200.
    CrossRefPubMed
  16. Vogel JP, Betrán AP, Vindevoghel N, et al. Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. Lancet Glob Health. 2015; 3(5): e260–e270.
    CrossRefPubMed
  17. Einarsdóttir K, Sigurðardóttir H, Ingibjörg Bjarnadóttir R, et al. The Robson 10-group classification in Iceland: Obstetric interventions and outcomes. Birth. 2019; 46(2): 270–278.
    CrossRefPubMed
  18. Hildebrand E, Nelson M, Blomberg M. Long-term effects of the nine-item list intervention on obstetric and neonatal outcomes in Robson group 1 – A time series study. Acta Obstet Gynecol Scand. 2021; 100(1): 154–161.
    CrossRefPubMed
  19. Middleton P, Shepherd E, Crowther CA. Induction of labour for improving birth outcomes for women at or beyond term. Cochrane Database Syst Rev. 2018; 5(5): CD004945.
    CrossRefPubMed
  20. Grobman WA, Rice MM, Reddy UM, et al. Labor Induction versus Expectant Management in Low-Risk Nulliparous Women. N Engl J Med. 2018; 379(6): 513–523.
    CrossRefPubMed
  21. Ten Eikelder MLG, Mast K, van der Velden A, et al. Induction of labor using a foley catheter or misoprostol: A systematic review and meta-analysis. Obstet Gynecol Surv. 2016; 71(10): 620–630.
    CrossRefPubMed
  22. Pyykönen A, Gissler M, Løkkegaard E, et al. Cesarean section trends in the Nordic Countries - a comparative analysis with the Robson classification. Acta Obstet Gynecol Scand. 2017; 96(5): 607–616.
    CrossRefPubMed
  23. Kaimal AJ, Grobman WA, Bryant A, et al. Correction to: The association of patient preferences and attitudes with trial of labor after cesarean. J Perinatol. 2019; 39(12): 1696.
    CrossRefPubMed
  24. Wu Y, Kataria Y, Wang Z, et al. Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2019; 19(1): 360.
    CrossRefPubMed
  25. Abdallah W, Abi Tayeh G, Cortbaoui E, et al. Cesarean section rates in a tertiary referral hospital in Beirut from 2018 to 2020: Our experience using the Robson Classification. Int J Gynaecol Obstet. 2022; 156(2): 298–303.
    CrossRefPubMed

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