| Abstract | UVOD: Porodničke operacije predstavljaju ključne medicinske intervencije koje se primjenjuju tijekom poroda kako bi osigurali sigurnost majke i djeteta. U porodničke operacije spadaju: epiziotomija, carski rez i vakum ekstrakcija. Cilj porodničkih operacija je smanjiti komplikacije i riješiti hitna stanja. Napretkom tehnologije, ove operacije postale su sigurnije, učinkovitije i manje invazivne, što doprinosi boljem ishodu za pacijentice i novorođenčadi. CILJ: Cilj ovog rada je usporediti vrstu i učestalost porodničkih operacija u 2022. godini u odnosu na 2012. godinu u Klinici za ženske bolesti i porode KBC-a Split. METODE: Istraživanje je provedeno u Klinici za ženske bolesti i porode KBC-a Split, za razdoblje od 1. siječnja 2012. godine do 31. ožujka 2012. godine te od 1.siječnja 2022. godine do 31. ožujka 2022. godine. Ukupan broj poroda u 2012. godini je 4270, za potrebe ovog istraživanja obrađeno je 1151 poroda iz prvog tromjesečja 2012. godine. U 2022. godini ukupan broj poroda iznosio je 3995, od toga je analizirano 965 poroda u prvom tromjesečju. REZULTATI: U 2012. godini od 1151 poroda 210 (18%) je završeno carskim rezom, a udio vaginalnih poroda bio je 941 (82%). Od 941 vaginalnog poroda napravljeno je 567 (60%) epiziotomija, dok je 374 (40%) poroda bez ureza međice. Vakum ekstrakcija primijenila se kod 17 (1,8%) poroda. U 2022. godini od 965 poroda u prvom tromjesečju vaginalnih je bilo 676 (70%) dok je udio carskih rezova 289 (30%). Od 676 vaginalnih poroda kod 426 (63%) rodilja napravljen je urez međice dok je 250 (37%) rodilo bez ureza međice. Udio poroda dovršenih vakum ekstrakcijom za 2022. godinu iznosio je 2,5%. ZAKLJUČAK: Izvođenje carskog reza se povećalo za 12% u 2022. godini, a izvođenje epiziotomije za 3%%. Upotreba vakumskih ekstrakcija nije se značajno povećala. Učestalost carskog reza i epiziotomija nije u skladu s preporukama Svjetske zdravstvene organizacije. |
| Abstract (english) | INTRODUCTION: Obstetric surgeries are crucial medical interventions applied during childbirth to ensure the safety of both mother and child. These include episiotomy, caesarean section, and vacuum extraction. The goal of obstetric surgeries is to reduce complications and resolve emergencies. With technological advancements, these procedures have become safer, more effective, and less invasive, contributing to better outcomes for mothers and newborns. OBJECTIVE: The aim of this study is to compare the types and frequencies of obstetric surgeries in 2012 versus 2022 at the Clinic for Women's Diseases and Childbirth at KBC Split. METHODS: The research was conducted at the Clinic for Women's Diseases and Childbirth at KBC Split, covering the period from January 1, 2012, to March 31, 2012, and from January 1, 2022, to March 31, 2022. The total number of births in 2012 was 4270, and for this study, 1151 births from the first quarter of 2012 were analyzed. In 2022, the total number of births was 3995, with 965 births analyzed from the first quarter. RESULTS: In 2012, out of 1151 births, 210 (18%) were completed by cesarean section, while 941 (82%) were vaginal deliveries. Of the 941 vaginal deliveries, 567 (60%) involved episiotomy, and 374 (40%) were without episiotomy. Vacuum extraction was used in 17 (1,8%) of births. In 2022, out of 965 births in the first quarter, 676 (70%) were vaginal, while 289 (30%) were cesarean sections. Out of 676 vaginal deliveries, 426 (63%) involved episiotomy, and 250 (37%) have had no episiotomy. The rate of births completed by vacuum extraction in 2022 was 2,5%. CONCLUSION: The incidence of cesarean sections increased by 12% in 2022 and the rate of episiotomies increased by 3%. The use of vacuum extractions did not significantly increase. The frequency of caesarean section and episiotomy is not in accordance with reccomendations of the World Health Organization. |
