Saratov JOURNAL of Medical and Scientific Research

Dagestan State Medical University

Perioperative and long-term cesarean section complications: a systematic review


The aim of the review is to analyze the complications of cesarean section (CS), the associated maternal and perinatal mortality, taking into account the economic development of the country, indications for CS, urgency, methods of surgery and anesthesia, and preventive measures. For a systematic review, a search was conducted on electronic research databases reporting maternal or perinatal morbidity and mortality associated with CS. The analysis included 167 studies, including 5,100,161 operations of CS and 8216 cases of maternal mortality meeting the inclusion criteria. The prevalence of complications associated with CS was calculated, the odds ratio (OR) and the relative risk (RR) with confidence interval (Cl) 95% were calculated. The risk of death for women in low- and middle-income countries who had CS was 7.6 per 1000 [95% Cl: 6.6-8.6]; in highly developed countries 0.6 per 1000 [95% Cl: 0.08-0.9]. In low-income countries, perinatal mortality was 84.7 per 1000 CS [95% Cl: 70.5-100.2]. Perinatal mortality in high-income countries is 12.7 per 1000 cops [95% Cl: 6.85-18.3]. The most common perioperative complications in CS were: bleeding (OR=0.52 [95% Cl: 0.48-0.57]), infection (OR=13.4 [95% Cl: 9.7-22.3]) and venous thromboembolism (OR=1.4 [95% Cl: 1.2-3.5]). Low-income countries have high maternal mortality and require optimized conditions for CS. A significant increase in the incidence of CS in high-income countries did not lead to a corresponding decrease in neonatal morbidity and mortality, but it increased the risk to the health and life of women.

2020_01_009-017.pdf634.44 KB

Epidemiological aspects of acute intestinal infections in the Republic of Dagestan

Year: 2019, volume 15 Issue: №3 Pages: 607-610
Heading: Infectious Diseases Article type: Original article
Authors: Zulpukarova N.M., Dzhavatkhanova M.l., Magomedalieva S.G., Adilova M.A.
Organization: Dagestan State Medical University

The aim of the research is to determine the epidemiological situation of acute intestinal infections that are particularly relevant for the republic. Material and Methods. In this study reporting form No. 2 «Information on infectious and parasitic morbidity» for 2015-2018, regulatory documents and data on the epidemiological situation of acute intestinal infections in the world. Results. A retrospective analysis of the epidemiological situation of acute intestinal infections in the country showed that these infections take second place in the structure of infectious morbidity after acute respiratory diseases, while the fact of an increase in the incidence rate of OKI of unidentified etiology in 2018 is of particular importance. The decoding figure did not decrease and amounted to 42% (41.3% in 2017; 37.7% in 2016; 33.9% in 2015), and in cities 38% (37.2% in 2017; 31.4% in 2016; 29.1 % in 2015). Conclusion. In the structure of acute intestinal infections, infections with an unidentified etiology predominate, which requires an increase in the health literacy of the population, as well as an improvement in the system of epidemiological surveillance of this pathology.

2019_03-607-610.pdf294.72 KB