title: [Evolution of surgical delivery during the past 35 years according to the data of the All-Union Research Center for Maternal and Child Health of the Ministry of Public Health of the USSR].
abstract: A distinct evolution of surgical delivery has been demonstrated over the past 35 years. In the past decade, the proportion of surgical deliveries has grown considerably owing to the increasing rate of cesarean sections. In most cases, the operation is performed for combined indications and, quite frequently, for the sake of the fetus. Perinatal parameters have improved while there has been no clear-cut correlation between the increasing rate of cesarean section and declining perinatal mortality. Further development of rational labor management principles is necessary.
authors.forename: V I
authors.initials: VI
authors.lastname: Kulakov
authors.forename: E A
authors.initials: EA
authors.lastname: Chernukha
authors.forename: L M
authors.initials: LM
authors.lastname: Komissarova
authors.forename: T K
authors.initials: TK
authors.lastname: Puchko
mesh_terms: D002585:Cesarean Section / Q000266:history / Q000706:statistics & numerical data / Q000639:trends*; D005260:Female; D049673:History, 20th Century; D006801:Humans; D008430:Maternal-Child Health Centers / Q000706:statistics & numerical data; D007744:Obstetric Labor Complications / Q000266:history / Q000601:surgery*; D009774:Obstetrics / Q000266:history / Q000639:trends*; D011247:Pregnancy; D014586:USSR
vernacular_title: Evoliutsiia operativnogo rodorazresheniia za poslednie 35 let po dannym VNITs po okhrane zdorov'ia materi i rebenka Minzdrava SSSR.