1School of Medicine, Health Sciences University of Mongolia
2School of Biomedicine, Health Sciences University of Mongolia
3First Maternity Home, Ulaanbaatar, Mongolia
Өгүүллийн PDF-ийг татах
The respective impact of obstetrical and surgical factors has rarely been analyzed and no study has been attempted in this area in Mongolia. This retrospective study was carried out in 3524 (5% of all deliveries) women cases, who underwent cesarian section between 1996-2000. The data obtained through the questinnaires with 113 questions on 29 parameters and was evaluated statistically. The incidence of cesarean sections is continuously increasing (8% and above), while the surgical complications have not decreased (47,8%). PROM (15,8%), insufficiency of the utrine scar (15,5%), and associated diseases with pregnancy (12,2%) constitute the leading indications of cesareans. The frequency of post-cesarean infection complications is high (17,4%-30.4%). Perinatal mortality occurred in 35.2% of cases. The number and rate of all cesarian deliveries, primery and repeat, rose 1996-2000 in Mongolia and mother and child morbidity rates were correlated with the severity of obstetrical manifestations and delay of care.
169, no:4. pp.945-950
2. SamoA.Jr., Phelan J.P. Ahn M.O., Strong T. Jr. 1989. Trial of labor in women with breech presentation. J. Reprod. Med. vol.34, no: 10. pp.831-833
3. Sze-ya Veh, Xing-hua Huang, Phelan J.P. 1984. Postterm Pregnancy after Previous Cesarean Section. J. Reprod. Med. vol.29, no:l. pp.41-44
4. Unzeiting V., Soska Y., Cupr Z., Taxt P., Nazari H. 1987. Zanetlive komplikace po cisarskem rezu. Ces. Gynecol, vol.52, no:3. pp.205-209
5. Mirov I.M. 1991. Cesarean Section. Ryazan, Medicine, p. 91
6. Slepih A.S. , 1986. Abdominal labor. Leningrad, p. 190
7. Sokolev V.B. , Ziryaeva N.B., Ananev B.A. 1989. Maternal mortality after Cesarean Section, in Obstet. and Cesarean Section. pp. 172-176
8. FurmatovU.A. 1987. Surgical technigue. Clin. Surgery. no:8. pp. 71-75
9. Neuman M., Langer R., Bachas R. et al. 1990. Penicillin-tetracycline prophilaxis in cesarean delivery: prospective and randomized comparison of short
and long term therapy. J. Perinat. Med. vol.18, no:2. pp. 145-148
10. Diamond M.P., Entman S.S., Salyes Sh.L., Vaughn W.K., Boehm F.H. 1986. Increased risk of endometritis and wound infection after cesarean section in
insulin-dependent diabetic women. Amer.J.Obstet. Gynecol, vol.155, no:2. pp.297-300
11. KlugF.W., Mayer H.G.K., HohlwegTh. 1986. Die Bedeutuhg der operationstchnik bei der verhutung infectioser Komplikationen nach Kaiserschnitt. LBI.
Gynecol, vol.108, no:7. pp. 1046-1052
12. ArsuraE.L., Fazio R. A. Wickremesinghe F. C. 1985. Pseudomembranous colitis following profilactic antibiotic use in primary cesarean 49 section. Amer.
J. Obstetr. Gynicol. vol. 151, no: 1. pp.87-89
13. Wessel J., Ralph G, Lichtenegger W., Schorer P. 1989. Special obstetric problems in managing labor following cesarean section. Z Geburtshilfe Perinatol.
vol.193, no:3. pp. 134-138
14. Grishenko B.I., Ivanenko N.D. 1989. Analysis of immune status in hemotherapy after cesarean section, in Obstet. and Ces. Section. pp. 113-120
15. Repina M.A. 1984. Uterine rupture. Medicine, p. 187
16. Strijova N.B., Razumnikova O.G 1982. Uterine scar condition by ultrasound scan. J.Obstet. Gynecol, no: 12. pp.45 - 47
17. Heritage C.K., Cunningham M.D. 1985. Association of elective repeat cesarean delivery and persistent pulmonary hypertension of the newborn. Amer.
J.Obstet. Gynecol. Vol. 152, no:6. pp.627-629
18. Ophir E., Oettinger M.,Vagoda A.et al. 1989.Breech presentation after cesarean section: always a section? Am. J. Obstet. Gynecol, vol.161, no:l.pp.25-
28
19. Winkler M., Ruskhaberle K.E., Saul S., Forberg Y. 1986. Klinische Erfahrunfen mit der einschichtigen Uterusnaht bei Sectio caesarea. Zbl. Gynacol, vol.
108, no: 17. pp. 1039-1045
20. Sidorov A.S. 1968. Punctual problems in cesarian section. Autoref. of PhD. in Med. Kiev. p.26
21. Popova T.V. 1988. Management of labor with uterine scar. Mistakes and Complications in obst. Surgery. Petrozavodsk, pp.47-48
22. Gibbs R.S. 1985. Infection after caesarean section. Clin. Obstet. Cynecol. vol.28, no:4. pp.697-710
23. Shweni P.M., Bishop B.B., Hansen J.N., Subrayen K.T. 1987. Severe Secondary postpartum hemorrhage after cesarean section. S. Afr. Med. J., vol. 72,
no:9. pp.617-619
24. Goldina A.Y. 1974. Uterine suture condition after cesarian section. Autoref. of PhD in Med. Moscow, p. 160 50 Lkhagvasuren et al. Cesarian section
rates
25. Eltsov-Strelkov V.M. 1979. Cesarian section in modern obstetrics. Recomendation of methods. Moscow, p.27
26. Kulabaeva K.J., Evstratenko E.I., Amineva L.A. 1989. Cesarian section by Elizo-Strelkova. Healthcare Kazakstan. no:6. pp.31-33
