Impact of caesarean section on women's reproductive function

Caesarean section is the most common delivery operation worldwide, its frequency continues to grow and does not tend to decrease. The issues of the optimal frequency of Caesarean section are constantly discussed by obstetrician-gynecologists and healthcare professionals. Advances in the field of anesthesiology, antibiotic therapy, neonatology have created conditions for a relatively safe operative delivery, but this does not mean that natural childbirth should be refused and switched to operative delivery, which should be performed strictly for medical indications. The problem of the high frequency of caesarean sections and its impact on demographic indicators (fertility, maternal and perinatal mortality), the reproductive health of the female population, the mental health of the future generation (children extracted by surgery), and the qualifications of obstetricians and gynecologists are raised. At the end of the 20th - beginning of the 21st century, two trends emerged in medicine and healthcare that can and are already affecting human evolution, especially its reproduction: these are assisted reproductive technologies and the ever-increasing frequency of caesarean sections. Moreover, both of these trends are interrelated, since pregnancies resulting from assisted reproductive technologies, for the most part, end in an operative way. The problem of preserving the reproductive function of women after surgical interventions in obstetrics and gynecology has now acquired great social and medical significance.