Delivery and delivery frequency

Vaginal delivery is preferred given that morbidity and mortality associated with operative caesarean section have increased over time. Caesarean section is a unique measure of preserving the health and life of the mother or fetus, but the global rise in its frequency is alarming. Medical caesarean section is an effective method of reducing maternal and perinatal mortality. Any method of delivery for women with a history of caesarean section carries risks. Today, it is extremely necessary to assess the frequency of unreasonable delivery tactics, namely the frequency of unreasonable antenatal cesarean section, unsuccessful attempts at vaginal delivery, the frequency of delivery with severe complications for the mother and/or newborn. In general, 951 births occurred in the Kyrgyz Scientific Center for Human Reproduction in 2016, in 2017 (2193) the number of births increased by +130.6%, in 2018 (2638) by +20.3%, in 2019 the decline was -15.9%, in 2020 the number of births increased again (2808) by +26.5%, 2021 (3543) by +26.1% and 2022 (3231) cases of childbirth decreased by -8.8%. Analysis of delivery methods in women admitted to the Center for Human Reproduction in Bishkek showed in the years studied the predominance of vaginal deliveries over cesarean sections from 2.4 times to 3.0 times. Over time, cases of vaginal delivery tended to decrease against the background of an increase in cases of cesarean sections in 2018 and 2020-2022, with the exception of 2017 and 2019.