CESARIAN SECTION - HIGHER RATE AND HIGHER CHALLENGES.

There is evidence that perinatal morbidity and mortality has not changed - caesarean section rate increased and data remained stable and rate of intro and post operative complications was increased. There is another view of the picture: the right of patient to choose mode of delivery and the reality, that the number of patients with prior caesarian section and number patient and physician prefer caesarean section. The following topics are discussed as well: age of pregnant woman, macrosomia and intrauterine growth restriction, malpresentation, multiple gestation, preeclampsia, BMI, role of assisted reproductive technologies, electronic monitoring of fetal heart rate in labor, induction of labor.

[Original method of cesarean section operation and its role in the prevention of obstetric complications].

The authors made an analysis of archival material of 1577 case histories of the patients who were subjected to cesarean section operation at Tbilisi Experimental Maternity Hospital and at "The House of Health" during 1999-2000 years. The case histories were divided into two groups: 1474 patients made 1--main group which were subjected to the operation of cesarean section according to modified method offered by Professor A. Koridze, while 103 patients operated according to traditional method accepted at present time made the 11--control group.