Description
Different interventions during childbirth are used to provide the safest care for the mother and child and to decrease maternal and perinatal morbidity and mortality. In current obstetric practice, operative vaginal delivery and Caesarean section rate is increasing and should be analysed in the context of increasing numbers in labour induction and extended usage of epidural analgesia in labour.. Riga Maternity Hospital is the biggest second-level perinatal care centre in Latvia. The data from the hospital medical statistical system from 2020 to 2022 were analysed using Microsoft Excel. Approval of data sharing was provided by Riga Maternity Hospital.. Each year, the total number of deliveries in Riga Maternity Hospital from 2020 to 2022 was above 5000. The Caesarean section rate has decreased from 21.7% in 2020 to 19.6% in 2022. Due to the broadening of indications during the analysed period, there was a marked increase in labour induction rate (from 29.8% to 39.9%) and usage of epidural analgesia (from 34.4% to 58.8%). Also, the frequency of vaginal operative delivery rate increased from 6.53% in 2020 to 8.9% in 2022. At the same time, perinatal mortality was the lowest among perinatal institutions in Latvia- 3.66%. The impact of delivery management is analysed in frames of the quality insurance system of the hospital. In 2022 in deliveries when epidural analgesia was used, 11.6% of patients had an operative vaginal delivery and 12.4% had a Caesarean section. . To ensure the quality of care and the results, in modern obstetrics it is important to base practice on current evidence and regularly perform data analysis that would confirm the impact of obstetric management on the health outcome of the mother and child.Period | 29 Mar 2023 |
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Event title | RSU International Research Conference 2023: Knowledge for Use in Practice |
Event type | Conference |
Organiser | Rīga Stradiņš University |
Location | Riga, LatviaShow on map |
Degree of Recognition | International |
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