Robson's idea as a modernization of the rational use of operative delivery

11/22/2021 10:24:14 PM

Khadzhilaeva Fatima Dalkhatovna

Xadzhilaevafatima@mail.ru

89886127546

Cherkessk, Russian Federation, Biology and Genetics

Online report, Student 22

Federal State Budgetary Institution of Higher Education "North Caucasian State Academy", Cherkessk city, Karachay-Cherkess Republic, 6 course, Faculty of General Medicine

Khadzhilaeva F.D.

Robson's idea as a modernization of the rational use of operative delivery

senior lecturer Ponomareva Ye.B.

RGBLPU "Republican Perinatal Center" Karachay-Cherkess Republic

Introduction: Caesarean section is one of the oldest obstetric operations, which is performed by incision and formation of an artificial opening on the anterior abdominal wall. This type of operation has acquired and is in great demand in its implementation in the field of obstetrics and gynecology. The frequency of the increase in the use of the surgical method of delivery is in direct proportion to the increase in possible adverse complications.

Purpose: In our present study, the purpose of studying the significance and effectiveness of the use of the medical classification developed by the scientist Robson in practical obstetrics, to the level of reducing the use of abdominal delivery in the practice of obstetricians-gynecologists, has been determined.

Materials and methods: We carried out a thorough retrospective analysis of 2354 birth histories on the basis of the archive of the "Republican Perinatal Center" of the Karachay-Cherkess Republic, which were completed with the birth of live fetuses, for the period of 2020. During the daily, thorough, practical work carried out in the archives of the perinatal center, theoretical knowledge of the cycle of obstetrics and gynecology was applied. In the course of the work, a batman and a pen were turned on.

Results: The largest group in terms of the number of puerperas was the third group and accounted for 34.7% of the total number of all puerperas. The second place in terms of the number of women was taken by the fourth group - 19.1%. To reduce the overall incidence of obstetric caesarean section, it is necessary to strive to minimize the use of abdominal delivery in the second group - in primiparous women with ultrasound screening of one full-term fetus in the womb, who needed immediate highly qualified obstetric intervention before the start of the programmed natural fourth delivery, and group - in multiparous women in labor, with the presence of one full-term fetus in the womb by ultrasound screening. In a number of cases, induction of labor with a Foley catheter, prostaglandin E.

Conclusions: In order to reduce the percentage of caesarean section during delivery, it is necessary to reduce abdominal delivery in the fifth and ninth groups. But overcoming this challenge and taking appropriate action is not easy. As a consequence, efforts should be directed to the second and fourth groups. Good quality prenatal needs to be followed carefully.

Адрес публикации: https://www.prodlenka.org/metodicheskie-razrabotki/481018-robsons-idea-as-a-modernization-of-the-ration