In-Depth Analysis of Caesarean Section Rate in the Largest Secondary Care-Level Maternity Hospital in Latvia

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dc.contributor.authorRācene, Laura
dc.contributor.authorRostoka, Zane
dc.contributor.authorĶīse, Līva
dc.contributor.authorKacerauskiene, Justina
dc.contributor.authorRezeberga, Dace
dc.contributor.institutionDepartment of Obstetrics and Gynaecology
dc.date.accessioned2023-10-23T08:35:01Z
dc.date.available2023-10-23T08:35:01Z
dc.date.issued2023-10-09
dc.descriptionFunding Information: This research is funded by the Latvian Council of Science project ‘Role of Metabolome, Biomarkers and Ultrasound Parameters in Successful Labour Induction’ (project No. lzp-2021/1-0300). The funding source had no role in study design, conduct, data analysis and interpretation, manuscript writing, or dissemination of results. Publisher Copyright: © 2023 by the authors.
dc.description.abstractThere is no surgical intervention without risk. A high rate of caesarean sections (CSs) impacts on maternal and newborn mortality and morbidity. For optimisation of the CS rate, regular monitoring is necessary. In 2015, the World Health Organization recommended the Robson classification as a global standard for assessing, monitoring, and comparing CS rates. We analysed all births in 2019 in the Riga Maternity Hospital-a secondary-level monodisciplinary perinatal care hospital in Latvia-according to the Robson classification, seeking to identify which groups make the biggest contribution to the overall CS rate. In total, 5835 women were included. The overall CS rate was 21.5%. In our study, the largest contributors to the overall CS rate were as follows: Group 5 (33.3%); Group 2 (20.8%); and Group 1 (15.6%). The results of our deeper analysis of individual groups (Group 1 and 5) from our study may help to develop targeted interventions for specific subgroups of the obstetric population, effectively reducing both the overall rate of CS and the number of unnecessary CSs performed. The CS rate reduction strategy should be based on decreasing CSs in Group 1 and encouraging VBAC, thus decreasing the number of women undergoing two or more CSs in futureen
dc.description.statusPeer reviewed
dc.format.extent472387
dc.identifier.citationRācene, L, Rostoka, Z, Ķīse, L, Kacerauskiene, J & Rezeberga, D 2023, 'In-Depth Analysis of Caesarean Section Rate in the Largest Secondary Care-Level Maternity Hospital in Latvia', Journal of Clinical Medicine, vol. 12, no. 19, 6426. https://doi.org/10.3390/jcm12196426
dc.identifier.doi10.3390/jcm12196426
dc.identifier.issn2077-0383
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/14921
dc.identifier.urlhttps://pubmed.ncbi.nlm.nih.gov/37835069/
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85173865231&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofJournal of Clinical Medicine
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectaudit
dc.subjectRobson classification
dc.subjectcaesarean birth
dc.subjectcaesarean section
dc.subjectcaesarean rate
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.titleIn-Depth Analysis of Caesarean Section Rate in the Largest Secondary Care-Level Maternity Hospital in Latviaen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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