Caesarean section, vaginal instrumental delivery and perineal morbidity in the Slovak Republic in the years 2007–2018

Abstract

Objective: Analysis of caesarean section, vaginal instrumental deliveries and severe perineal morbidity in the Slovak Republic in the years 2007–2018. Methods: The analysis of prospectively collected caesarean section and vaginal instrumental delivery data in the years 2007–2018, and episiotomies and severe perineal morbidity data in the years 2008–2018 from obstetrics hospitals in the Slovak Republic. Results: Caesarean section rate progressively increased from 24.1% in 2007 up to 30.8% in 2013 and decreased to 29.6% in 2018. Vacuumextraction frequency was 1.3% in 2007 and increased up to 2.0% till 2018. Forceps frequency decreased since 2008–2018 from 0.56% to 0.43%. In the years 2008–2018, frequency of perineal tears of the 3rd and 4th degree increased from 0.4% to 0.8%. Frequency of episiotomies decreased in the years 2008–2018 from 74.7% to 47.7%. Conclusion: The highest caesarean section rate in the Slovak Republic – 30.8% occurred in 2013, but slowly decreased in the following years. The frequency of vacuum extraction increased and forceps decreased. Frequency of episiotomies had decreased and severe perineal tears held an increasing trend. Key words: caesarean section – vacuum extraction – forceps – episiotomy – 3rd and 4th degree perineal tears

Peripartum hysterectomy: A 9‐year population‐based study in Slovakia

“…The incidence (per 1000 births) of peripartum hysterectomy and frequency (%) of cesarean section in Slovakia in the years 2012–2020 14,15 . CS, cesarean section; PH, peripartum hysterectomy.…”

“…The overall incidence of PH in the study period was 0.91 per 1000 births. The annual incidence of PH and the reported frequency of cesarean section in Slovakia by year between 2012 and 2020, 14,15 are presented in Figure 2.…”