Measures to remove negative medico-social risk factors affecting the frequency of the operation cesarean section

Abstract

This article presents data on the development and justification of measures to eliminate (weaken) negative medical and social risk factors that have a significant effect on the rate of delivery by cesarean section. For this purpose, the degree of influence of medical and social risk factors was determined using the prognostic model developed by us to predict the proportion of these factors' influence on delivery by cesarean section. In order to study the effectiveness of preventive maintenance of delivery by cesarean section according to the measures developed by us, an organizational experiment was conducted. This organizational experiment was conducted in 2015-2016. in women's consultations, medical organizations in Kazan. The measures we developed for the prevention of delivery through cesarean section have made it possible to obtain a noticeable preventive effect in reducing the frequency of this operation and increase the effectiveness of the obstetrician-gynecologists work. Thus, according to our study, elimination of 49.6% of negative medical and social risk factors among pregnant women allowed, in comparison with the control group, to reduce the rate of delivery of operations by cesarean section by 56.8%, and among women planning pregnancy the frequency of delivery by cesarean operation The cross section decreased by 60.5%.