WHEN BIRTH RATES FALL AND CESAREAN SECTION RATES RISE: 10 YEARS OF OBSTETRIC COMPLICATIONS IN THE KRASNOYARSK REGION AMID A DEMOGRAPHIC CRISIS
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Abstract
The aim of the research – retrospective analysis of obstetric care indicators, cesarean section rate, and the structure of complications during pregnancy, delivery, and the postpartum period in Krasnoyarsk Krai for 2016-2025, with comparison of regional trends to global data.
Materials and methods. A retrospective analysis of official statistical data from the Ministry of Health of Krasnoyarsk Krai for 2016-2025 was conducted, covering: trends in the total number of deliveries, CS rate, and the structure of complications during pregnancy, childbirth, and the puerperium according to ICD-10. A comparative analysis with global epidemiological data (GBD 2021, GLOSS) was performed.
Results. Over the past 10 years, the total number of deliveries in Krasnoyarsk Krai decreased by 39.8%. The CS rate increased from 30.4% to 34.3%, exceeding the global average. A marked decline in postpartum genitourinary tract infections and postpartum sepsis was observed. However, an increase in placenta accreta cases and postpartum hemorrhage was registered.
Conclusion. A significant reduction in postpartum infectious complications was achieved through the implementation of effective clinical protocols. However, the rising CS rate and associated complications persist. Priority areas include reducing the rate of primary CS, improving the prevention of purulent-inflammatory postpartum diseases, and introducing organ-preserving treatments for obstetric peritonitis.
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