Obstetric audit of cesarean sections according to M. Robson classification criteria – the experience of St. Petersburg in 2020-2021

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Abstract

An external audit of the childbirth outcomes was conducted in accordance with M. Robson’s 10-group classification. The main determinants of indications and the frequency of cesarean section in obstetric medical organizations of St. Petersburg in 2020-2021 were analyzed in order to find effective mechanisms for reducing the frequency of сesarean delivery within the framework of compliance with modern principles of perinatal-oriented obstetrics and the preservation of a woman’s reproductive health. Possible effective reserves for reducing the frequency of CS are presented: personalized pre-gravidar preparation in high-perinatal risk women groups, personalized approach to methods of pre-induction and induction of labor in high-risk groups’ patients, rational management of labor in compliance with modern clinical recommendations, wider use of current classical external manual methods for antenatal correction of fetus pelvic presentation, prevention the primary cesarean deliveries, increase in the rate of vaginal deliveries among women with previous cesarean deliveries, optimization of effective antenatal psychological consultation about the delivery methods among pregnant women with breech presentation, previous cesarean deliveries and multiple pregnancy.

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About the authors

Vitaly F. Bezhenar

Academician I.P. Pavlov First St. Petersburg State Medical University

Email: bez-vitaliy@yandex.ru
ORCID iD: 0000-0002-7807-4929
SPIN-code: 8626-7555
Scopus Author ID: 57191963583
ResearcherId: R-7055-2017

MD, Dr. Sci. (Med.), Professor

Russian Federation, Saint Petersburg

Nesterov Nesterov

Academician I.P. Pavlov First St. Petersburg State Medical University

Author for correspondence.
Email: ignester@yandex.ru
ORCID iD: 0000-0002-7558-7657

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, Saint Petersburg

Ivan A. Pryalukhin

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov

Email: i_prialukhin@oparina4.ru
ORCID iD: 0000-0001-8867-3020

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

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