Criterios de elección en cesáreas, estudio a realizarse en la Maternidad Matilde Hidalgo de Procel año 2016
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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Introducción: Las cesáreas a nivel mundial se realizan en un alto porcentaje en los últimos años. En el Ecuador, en el año 2014 el índice de cesáreas solo del MSP fue de 41.2%., y en el año 2015 situándose el 57%. Objetivos: Identificar los criterios de elección en cesáreas, en la Maternidad Matilde Hidalgo de Procel año 2016. Materiales y métodos: Estudio se realizará con un diseño retrospectivo, observacional, cuantitativo y descriptivo. Plan de análisis y universo de estudio: historias clínicas de las gestantes con diagnostico cesárea. Variables: número total de nacimientos, número total de cesárea que fueron clasificadas de acuerdo criterios obstétricos, obteniendo una base de datos. Adicionalmente se obtuvo información sobre las patologías maternas asociadas. Resultados: Revelan que en el periodo 2016 se registraron 8.842 nacimientos, de los cuales 4.721 fueron por cesárea, es decir que tuvo una incidencia de 53%. Entre las indicaciones obstétricas de cesárea se encontró Conclusión: Persiste el aumento de las cesáreas en relación a años anteriores, los gineco-obstetras deben ser meticuloso en el momento de la evaluación y permitir para aquellas gestantes que tenga un parto por vía vaginal, para disminuir la alta tasa de cesárea.
Introduction: Caesareans worldwide are performed in a high percentage in recent years. In the Ecuador, 2014, the MSP cesarean only rate was 41.2%, and in the year of 57%. Objectives: To identify the criteria of choice in cesarean sections, in the Maternity Matilde Hidalgo de Procel year 2016 Materials and methods: The study will be carried out with a retrospective, observational, quantitative and descriptive design. Analysis plan and universe of study: clinical histories of pregnant women with cesarean diagnosis. Variables: total number of births, total number of cesareans that were classified according to obstetric criteria, obtaining a database. Additionally, information on the associated maternal pathologies was obtained. Results: Reveal that in the period 2016 8,842 births were registered, of which 4,721 were by cesarean section that is to say that it had an incidence of 53%. Between the obstetrical indications the highest percentage corresponds to previous Caesarean section 41%, Presentation dystocia 20%, Lack of progression of childbirth 13%, Acute Fetal suffering 6%, Cephalopelvic disproportion 5%, Pregnancy Gemelar 5%, Funicular Dystocia 4%, Placental Abruption 3% and Placenta Previa 3%. Conclusion: Persistent increase in cesarean sections in relation to previous years, gynecological obstetricians must be meticulous at the time of the evaluation and allow for those pregnant who have a vaginal delivery, to reduce the high rate of cesarean section.
Introduction: Caesareans worldwide are performed in a high percentage in recent years. In the Ecuador, 2014, the MSP cesarean only rate was 41.2%, and in the year of 57%. Objectives: To identify the criteria of choice in cesarean sections, in the Maternity Matilde Hidalgo de Procel year 2016 Materials and methods: The study will be carried out with a retrospective, observational, quantitative and descriptive design. Analysis plan and universe of study: clinical histories of pregnant women with cesarean diagnosis. Variables: total number of births, total number of cesareans that were classified according to obstetric criteria, obtaining a database. Additionally, information on the associated maternal pathologies was obtained. Results: Reveal that in the period 2016 8,842 births were registered, of which 4,721 were by cesarean section that is to say that it had an incidence of 53%. Between the obstetrical indications the highest percentage corresponds to previous Caesarean section 41%, Presentation dystocia 20%, Lack of progression of childbirth 13%, Acute Fetal suffering 6%, Cephalopelvic disproportion 5%, Pregnancy Gemelar 5%, Funicular Dystocia 4%, Placental Abruption 3% and Placenta Previa 3%. Conclusion: Persistent increase in cesarean sections in relation to previous years, gynecological obstetricians must be meticulous at the time of the evaluation and allow for those pregnant who have a vaginal delivery, to reduce the high rate of cesarean section.
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Cesárea, Epidemiología descriptiva, Estudios retrospectivos, Hospital Materno Infantil Dra. Matilde de Hidalgo de Procel, Cantón Guayaquil, Ecuador, Complicaciones