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

Abstract

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