Clinical and anamnestic, pre- and intraoperative predictors of maternal and neonatal complications of cesarean section

Gladchuk I. Z., Herman Yu. V., Hryhurko D. O. Clinical and anamnestic, pre- and intraoperative predictors of maternal and neonatal complications of cesarean section. Journal of Education, Health and Sport. 2019;9(2):480-492. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2586092 http://ojs.ukw.edu.pl/index.php/johs/article/view/6666 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.02.2019. Revised: 11.01.2019. Accepted: 28.02.2019. Clinical and anamnestic, pre- and intraoperative predictors of maternal and neonatal complications of cesarean section I. Z. Gladchuk, Yu. V. Herman, D. O. Hryhurko Odessa National medical University Department of Obstetrics and Gynecology #1 Abstract The progressive decline in the world population's health index causes the need for a comprehensive set of measures to ensure the safety of caesarean section. There are a number of purely technical problems, the solution of which largely depends on the outcome of the operation for the mother and the fetus. In spite of the technical simplicity of caesarean section, this is a cavitary operation and should be classified as complex surgical interventions, with possible intraoperative and postoperative complications. The aggregate index of the incidence of intraoperative, early and late complications of abdominal rozdorosheniya varies widely within the range - from 4.5 to 18.5% [1, 2]. The incidence of obstetric and perinatal complications is directly related to the increase in the frequency of cesarean section. The group of increased risk of operational degeneration include: first-born babies, patients with obstructed obstetric history, pregnant women with scarring on the uterus after cesarean section, women with multiple pregnancy, preeclampsia, extragenital and genital diseases. The identification of some important clinical and anamnestic, pre- and intraoperative predictors of prenatal risk can significantly reduce the incidence of possible complications during abdominal delivery, as well as improve maternal and perinatal outcomes during the later postoperative periods. Key words: cesarean section, maternal complications, perinatal outcomes