Incidence of cesarean section at the department of gynecology and obstetrics of hospital in travnik during 2012.
BACKGROUND
Caesarean section is obstetrical surgery by which through incision of the abdominal wall and the lower uterine segment performs extraction of the fetus in the advanced stages of pregnancy and childbirth ends by abdominal myomectomy. Because of its significance it is one of the most important surgical procedures performed in gynecology and obstetrics.


METHODS
The goal of this study is to show the incidence of cesarean section in the Public Hospital in Travnik during 2012, and the most frequent indications for surgical completion of delivery. During 2012 at the Department of Gynecology and Obstetrics of Cantonal Hospital Travnik there was 927 deliveries.


RESULTS
Of the total number of births, in 115 (12.41%) of cases a caesarean section was performed, while in 812 (87.59%) delivery was completed vaginally. Descriptive analysis reveals that 55 (5.93%) women had repeated cesarean section after a previous cesarean section, while in 60 (6.47%) cases in 2012 for the first time underwent cesarean section. As the most common indications in 7.33% of the women was reported cefalopelvinea disproportion and breech presentation. At 6.67% of the women caesarean section was performed due to asphyxia and 4% due to preeclampsia. The incidence of other indications such as abruption, placenta previa, multiple pregnancy and other was less than 3%.


CONCLUSIONS
On the basis of the data we conclude that in the maternity hospital Travnik vaginal birth is most common. However, although the percentage of cesarean sections was much lower than in the regional maternity hospitals, we cannot ignore that the rate of caesarean sections is slowly increasing and requires that obstetricians in their practice make professional triage when setting indications for cesarean section so that a trend of surgically completed births should not reach epidemic proportions.
Clinic of Gynecology and Obstetrics, Clinical Center University of Sarajevo, Bosnia and Herzegovina.
Mohammad Abou
MA
El-Ardat
General Hospital "Prim. Dr. Abdulah Nakas", Sarajevo, Bosnia and Herzegovina.
Sebija
S
Izetbegovic
General Hospital "Prim. Dr. Abdulah Nakas", Sarajevo, Bosnia and Herzegovina.
Amin
A
Djulabic
Cantonal Hospital Travnik, Department of Obstetrics and Gynecology, Bosnia and Herzegovina.
Aldina
A
Hozic
Cantonal Hospital Travnik; cesarean section; vaginal delivery