Reserves for reducing the frequency of cesarean section in a level 3A hospital

Objective: to substantiate the reserves for reducing the frequency of cesarean section in a level 3 A hospital by retrospectively analyzing delivered patients using the M. Robson classification. Materials and methods: a retrospective analysis of 3771 birth histories of patients delivered in 2017 at the Rostov State “Perinatal center” was carried out. The patients were divided into 10 groups according to M. Robson's classification. The results were processed using mathematical statistics methods using MS Excel 2010 soſtware. Results: an analysis of delivery methods showed that out of 3,771 deliveries, 2018 women were delivered by abdominal delivery, which accounted for 53.2% of the total number of births in 2017. A detailed analysis of the indications for cesarean section in each of the groups according to M. Robson's classification revealed the true reserve for reducing the overall level of abdominal delivery in the studied institution. Conclusions: in order to structure in detail the reserves for reducing the frequency of cesarean section in a particular institution and to compare this indicator between maternity care institutions, in addition to the traditional analysis according to M. Robson's classification, it is necessary to develop and implement a unified form of analysis taking into account indications for abdominal delivery.