Covid-19 Pandemisi Sırasında Doğum Şeklinin Robson Sınıflandırma Sistemine Göre Değerlendirilmesi

Abstract

Aim: To show the change in the rates of vaginal delivery and cesarean section during the Covid-19 Pandemic in Ankara City Hospital. Materials and Method: This cross-sectional study included pregnant women who gave birth between 37 and 42 gestational weeks. Cesarean birth rates for each of the 10 Robson categories, compared between Covid-19 and before Covid-19 groups. Results: 21366 pregnant women were included in the study. The cesarean section rates were examined by dividing the patients who gave birth during covid -19 into two groups those who were infected with covid and those who were not. During the Covid-19 pandemic, women with previous CS (Robson group 5) and the nulliparous women who had spontaneous labor with a cephalic presentation at term (Robson group 1) were the most common contributors to the global CS rate, 21,68% and 6.5%, respectively regardless of being infected with Covid-19. Similarly, Robson group 5 makes the greatest contribution to the overall cesarean section rate (% 21,68) when we evaluate the patients by separating them as covid positive and covid negative. Conclusion: At the beginning of the epidemic higher rates of cesarean section are expected in the group of pregnant women with Covid-19 infection due to our limited knowledge. Although the mother's infection complicates the delivery, the timing and mode of delivery should be individualized according to the clinical condition of the pregnant woman, the week of gestation, and the condition of the fetus.