In the presented article, the share of cesarean sections and instrumental vaginal deliveries was analyzed as far as the total number of deliveries between 2016–2018 in the St. Family Hospital is concerned. Indications for both vaginal delivery and cesarean section were compared over the years. The most common indications for the operative way of termination of the spontaneous labor were symptoms of fetal distress during the second period of labor (regardless of weather forceps or vacuum extractor were used) reaching about 90 and 95% of the total numer of instrumental vaginal deliveries. The part of caesarean sections in the total number of deliveries according to the analyzed period of time increased from 30.1% to 34.0%. The most common indications for caesarean sections were symptoms of fetal distress and failure to progress in labour. The obtained data was compared to the results of analysis performed in other gynecology and obstetrics hospitals (presenting different reference level) and to data published by ACOG [18].

Key words: caesarean section, vaginal delivery, obstetric forceps, vacuum extractor, indications for caesarean section.