Complicaciones quirúrgicas en cesáreas en el Hospital Especializado Neonatal Mariana de Jesús en el período de enero del 2015 a diciembre del 2015
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
La cesárea es una de la intervención quirúrgica que se realiza con mayor
frecuencia a nivel mundial, la O.M.S. determinó que la tasa de cesárea debería ser del
10% al 15% para evitar la mortalidad materno fetal.
La tasa de cesárea a nivel de Latinoamérica es muy elevada, en países como Brasil la tasa
de cesárea fue de 55.6%; el índice de Ecuador en el 2014 fue de 41.2.
Este procedimiento quirúrgico tiene parámetros determinados por el M.S.P. que
garantizan la atención con calidad, calidez y conocimiento adecuado para su realización
y mediante estas evitar complicaciones puerperales debido a la cesárea.
Mediante el estudio realizado en el hospital especializado Mariana de Jesús en el periodo
establecido de enero a diciembre del 2015 se obtuvo resultados que tienen relación con
los descritos en la literatura mundial; en esta unidad de salud se encontró una tasa de
cesáreas que corresponde al 52.57%, equivalente a 4207 casos, de los cuales 716 casos
presentaron complicaciones de herida quirúrgica post cesáreas por casusas que se detallan
en el respectivo trabajo.
Se llega la conclusión que el método más frecuente utilizado para la extracción del
producto de la concepción es la cesárea, que la complicación más frecuente
conjuntamente con la infección de herida quirúrgica es la hemorragia y que la patología
más frecuente que presentan estas pacientes es la hipertensión.
Cesarean section is one of the most frequently performed surgical intervention worldwide, the O.M.S. I determined that the cesarean rate should be 10% to 15% to avoid maternal fetal mortality. The rate of cesarean section in Latin America is very high, in countries like Brazil the rate of caesarean section was 55.6%; The index for Ecuador in 2014 was 41.2. This surgical procedure has parameters determined by M.S.P. That guarantee the attention with quality, warmth and knowledge suitable for its realization and through these to avoid puerperal complications due to cesarean section. A study conducted at the Mariana de Jesús specialized hospital in the period from January to December 2015 yielded results that are related to those described in the world literature; In this health unit, a rate of caesarean section was found corresponding to 52.57%, equivalent to 4207 cases, of which 716 cases presented complications of surgical wounds post cesarean by causes that are detailed in the respective work. It is concluded that the most frequent method used for the extraction of the product of conception is cesarean section, that the most frequent complication in conjunction with surgical wound infection is hemorrhage and that the most frequent pathology presented by these patients is hypertension.
Cesarean section is one of the most frequently performed surgical intervention worldwide, the O.M.S. I determined that the cesarean rate should be 10% to 15% to avoid maternal fetal mortality. The rate of cesarean section in Latin America is very high, in countries like Brazil the rate of caesarean section was 55.6%; The index for Ecuador in 2014 was 41.2. This surgical procedure has parameters determined by M.S.P. That guarantee the attention with quality, warmth and knowledge suitable for its realization and through these to avoid puerperal complications due to cesarean section. A study conducted at the Mariana de Jesús specialized hospital in the period from January to December 2015 yielded results that are related to those described in the world literature; In this health unit, a rate of caesarean section was found corresponding to 52.57%, equivalent to 4207 cases, of which 716 cases presented complications of surgical wounds post cesarean by causes that are detailed in the respective work. It is concluded that the most frequent method used for the extraction of the product of conception is cesarean section, that the most frequent complication in conjunction with surgical wound infection is hemorrhage and that the most frequent pathology presented by these patients is hypertension.
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Cesárea, Complicaciones quirúrgicas, Herida quirúrgica, Hospital Especializado Mariana de Jesús, Cantón Guayaquil, Ecuador, Período posparto