CESAREAN SECTION AND POSSIBLE COMPLICATIONS OF THE PROCEDURE

Kirurški zahvat koji se najčešće spominje u medicinskoj literaturi je rez i operacija trbušne stijenke. Carski rez glasi kao jedan od najstarijih zahvata koji se spominje u abdominalnoj kirurgiji i danas je najčešća intstrumentalno-ručna operacija u porodništvu. Prednosti i nedostaci različitih rezova i postupka otvaranja trbuha od kože do peritoneuma općenito su isti kao i za sve otvorene operacije trbuha. Prema podacima Hrvatskog zavoda za javno zdravstvo, od 1981., kad je incidencija bila 1,7%, broj je porastao do 23,0% 2016. godine, s iznenadnim porastom od oko 4% 1997. godine. Komplikacije carskog reza možemo razvrstati u dvije skupine, a to su intraoperativne (akutne) i postoperativne (kronične). Incidencija komplikacija carskog reza je slična kao i u drugim laparotomijama, veća je mogućnost pojave upale endometrija. Iako primalje nemaju kompetencije za potpuno sudjelovanje pri izvođenju carskoga reza, one su od velike važnosti pri svakoj vrsti poroda, pa i pri carskom rezu.The surgical procedure most commonly mentioned in the medical literature is incision and surgery of the abdominal wall. Cesarean section is one of the oldest procedures mentioned in abdominal surgery and today it is the most common instrumental-manual operation in obstetrics. The advantages and disadvantages of different incisions and the procedure of opening the abdomen from the skin to the peritoneum are generally the same as for all open abdominal surgeries. According to the Croatian Institute of Public Health, since 1981, when the incidence was 1.7%, the number has risen to 23.0% in 2016, with a sudden increase of about 4% in 1997. Complications of cesarean section can be classified into two groups, namely intraoperative (acute) and postoperative (chronic). The incidence of cesarean section complications is similar to other laparotomies, the greater the possibility of endometrial inflammation. Although midwives do not have the competence to fully participate in the caesarean section, they are of great importance in every type of birth, including caesarean section