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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Research article

Lithuania’s experience in reducing caesarean sections among nulliparas

Authors: Justina Kacerauskiene, Meile Minkauskiene, Tahir Mahmood, Egle Bartuseviciene, Dalia R. Railaite, Arnoldas Bartusevicius, Mindaugas Kliucinskas, Ruta J. Nadisauskiene, Kastytis Smigelskas, Kornelija Maciuliene, Grazina Drasutiene, Diana Ramasauskaite

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

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Abstract

Background

To evaluate the role of the TGCS to reduce the caesarean section (CS) rate among nulliparas (Robson groups 1 and 2) and to find out which group of women have reduced the CS rate by using this tool.

Methods

The Robson classification was introduced in Lithuanian hospitals prospectively classifying all the deliveries in 2012. The CS rate overall and in each Robson group was calculated and the results were discussed. The analysis was repeated in 2014 and the data from the selected hospitals were compared using MS EXCEL and SPSS 23.0.

Results

Nulliparas accounted for 43% (3746/8718) and 44.6% (3585/8046) of all the deliveries in 2012 and 2014 years, respectively. The CS rate among nulliparas decreased from 23.9% (866/3626) in 2012 to 19.0% (665/3502) in 2014 (p < 0.001).The greatest decrease in absolute contribution to the overall CS rate was recorded in groups 1 (p = 0.005) and 2B (p < 0.001). Perinatal mortality was 3.5 in 2012 and 3.1 in 2014 per 1000 deliveries (p = 0.764).

Conclusion

The TGCS can work as an audit intervention that could help to reduce the CS rate without a negative impact on perinatal mortality.
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Metadata
Title
Lithuania’s experience in reducing caesarean sections among nulliparas
Authors
Justina Kacerauskiene
Meile Minkauskiene
Tahir Mahmood
Egle Bartuseviciene
Dalia R. Railaite
Arnoldas Bartusevicius
Mindaugas Kliucinskas
Ruta J. Nadisauskiene
Kastytis Smigelskas
Kornelija Maciuliene
Grazina Drasutiene
Diana Ramasauskaite
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-2052-2

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