Background: The average of cesarean has increased over the last 30 years in developed as well as in developing countries. During the last decade, cesarean surgery rates increased by 1 to 2 times. As of 2015, there were 80434 mothers gave birth nationwide. In Ulaanbaatar city, 267106 births were recorded, from which 14,327 (30.7%) was born with cesarean section. In 2015, 32.2% of all births born in Ulaanbaatar delivered by cesarean surgery, which is 2.5% higher than the previous year. The rate of cesarean surgery has increased dramatically, however, causes and complications are unclear and these subjects are rarely investigated, thus, we decided to study this important issue. Material and methods: The study was carried out through a retrospective design of descriptive statistics. Using cross-sectional study, we randomly collected data from the history of total of 5125 births recorded in the Urguu Maternity Hospital, in 2015 and 408 were selected. Data was collected by using 48 questions in 5 sections. We used the Statistical Package for the Social Sciences (SPSS) 20 for data processing and estimation of survey findings. Results: From the total of 408 women, who given birth by cesarean delivery, 50.2% done under cesarean surgery for the first time, 33.3% for the second time and 16.5% of them experienced with cesarean surgery 3 or more times. The impact of cesarean section on abortions was studied by comparing the rates of cesarean section compared to rates of abortion and we had revealed that 25.3% of cesarean surgery had an abortion once and 11.2% of them twice and 7.4% had 3 or more abortions. Conclusion Number of chances getting pregnant is age-related (p=0.001). Cases of first cesarean delivery have increased to 50.2%. The frequency of cesarean section and the number of pregnancies was statistically significant (p=0.001). According to the retrospective study of maternity history, 43.9% had abortions. There is an inverse correlation between the rates of cesarean section and rates of abortion (p=0.004). Combination of disorders of the organ systems do not affect the rate of the cesarean section (p= 0.941). Vaginal inflammation does not affect the frequency of cesarean section (p=0.237).

Background: Accreditation of healthcare institutions serves as a fundamental mechanism for ensuring patient safety and validating the quality of medical services provided to the population. At Intermed Hospital, a quality measurement system for healthcare services has been established since 2015, encompassing 126 quality indicators at both institutional and departmental levels. This system facilitates continuous quality improvement efforts. In this context, quality indicators specific to the endoscopy department play a pivotal role in objectively assessing the quality of endoscopic services. Aim: To assess the quality indicators in gastrointestinal endoscopy unit. Materials and Methods: A retrospective single-center study was conducted by collecting data from the Intermed hospital’s electronic information systems which included HIS and PACS and Quality and Safety Department’s Database and the results were processed using the SPSS software. Ethical approval was granted by the Intermed hospital’s Scientific research committee. The quality of endoscopic services in the Intermed hospital was assessed based on: a) the average values of four quality indicators measured monthly; b) sample survey data from five categories of quality indicators. Results : Between 2016 and 2024, the quality indicators of the endoscopy unit measured as the level of early warning score evaluations for patients was 95.97%±3.33, the level of cases where peripheral blood oxygen saturation decreased during sedation was 1.54%±3.78, the level of cases where patients experienced paradoxiical response during sedation was 5.82%±1.75, surveillance culturing level for validation of endoscopy reprocessing was 11.6%. The endoscopic documentation quality by peer review showed 95.7-100%, the colonoscopy quality indicators were followings as adenoma detection rate: 24.5% Cecal intubation rate: 99.1%, 95.2%, Colonoscope withdrawal average time: 13.28±10.62 minutes, Bowel preparation quality (Boston Scale): 89.3% 95.7%), patient discharge from the recovery room, Average discharge time post-procedure: With propofol alone: 30.92 minutes; With propofol and fentanyl combined: 31.52 minutes, The intermediate risk was 0.28% by the TROOPS evaluation during procedural sedation. Conclusion The quality benchmark levels for these endoscopic units, as determined by a single-center study, can be effectively implemented by benchmark endoscopy centers to enhance their quality and safety operations.