Beneficios y morbilidad de la cesárea de Joel Coehn. Hospital Gineco-Obstétrico Enrique C. Sotomayor durante el período junio 2015 a mayo 2016
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La cesárea es una de las intervenciones quirúrgicas más frecuentes en todo el mundo. Está indicada cuando el parto vaginal supone un riesgo para la madre o el niño, por ejemplo: parto prolongado, sospecha de pérdida del bienestar fetal o presentación anómala. No obstante, suele practicarse en ausencia de una indicación obstétrica por deseo materno, a pesar de conocerse los riesgos de complicaciones importantes, discapacidad y muerte, sobre todo en entornos que carecen de instalaciones para realizar intervenciones quirúrgicas en condiciones seguras y tratar posibles complicaciones. El objetivo general del estudio fue establecer los beneficios de la técnica de Joel Cohen en la realización de la cesárea y su impacto en el binomio madre-hijo. Se realizó un estudio prospectivo en el Hospital Gineco-Obstétrico “Enrique C. Sotomayor” en el período de junio del 2015 a mayo 2016, en el cual se incluyó a 104 gestantes. Se determinó que no se presentaron complicaciones a corto o mediano plazo, con un promedio de tiempo quirúrgico de 19 minutos y extracción fetal de 2 minutos. La escala del dolor entre las pacientes fue calificado como leve, solamente se requirió la transfusión de hemoderivados a una paciente quien a su ingreso ya presentaba anemia severa. El 80.8% de los neonatos fueron a término con un 62.5% con peso adecuado para la edad gestacional. En conclusión, se puede decir que la cesárea con técnica de Joel Cohen es un procedimiento seguro, con menor tiempo quirúrgico y rápida extracción fetal, con menor dolor postoperatorio y escasas complicaciones a corto y mediano plazo.
Caesarean section is one of the most common surgical procedures worldwide. It´s necessary when vaginal delivery suposes a risk to the mother or child, e.g.: prolonged labor, fetal distress or abnormal presentation. It´s usually practiced with non obstretrical indication for mother desire, even people know the risks of serious complications, disability and death, especially in environments with lack of facilities to perform a safe surgery and treat possible complications. The purpose of the study was to establish the benefits Joel Cohen’s technique in performing caesarean section and its impact on the binomial mother and child. It was a prospective study performed at Hospital GinecoObstétrico “Enrique C. Sotomayor” from June 2015 to May 2016 which included 104 of pregnant women. It was possible to determine that it is a procedure with no short or long term complications, with an average of 19 minutes of surgery time and 2 minutes until fetal extraction. Pain was graded as mild by the patients and only one needed to have blood transfusion even this patient already presented severe anemia when she washospitalized. The newborns was at term in 80.8% of cases with an adequate weight in 62.5% of cases. In conclusion, it is possible to say that the caesarean section with Joel Cohen technique is a safe procedure with less surgical time and fast fetal extraction, with less postoperatory pain and few complications at short and mid term.
Caesarean section is one of the most common surgical procedures worldwide. It´s necessary when vaginal delivery suposes a risk to the mother or child, e.g.: prolonged labor, fetal distress or abnormal presentation. It´s usually practiced with non obstretrical indication for mother desire, even people know the risks of serious complications, disability and death, especially in environments with lack of facilities to perform a safe surgery and treat possible complications. The purpose of the study was to establish the benefits Joel Cohen’s technique in performing caesarean section and its impact on the binomial mother and child. It was a prospective study performed at Hospital GinecoObstétrico “Enrique C. Sotomayor” from June 2015 to May 2016 which included 104 of pregnant women. It was possible to determine that it is a procedure with no short or long term complications, with an average of 19 minutes of surgery time and 2 minutes until fetal extraction. Pain was graded as mild by the patients and only one needed to have blood transfusion even this patient already presented severe anemia when she washospitalized. The newborns was at term in 80.8% of cases with an adequate weight in 62.5% of cases. In conclusion, it is possible to say that the caesarean section with Joel Cohen technique is a safe procedure with less surgical time and fast fetal extraction, with less postoperatory pain and few complications at short and mid term.
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Parto, Cesárea, Técnica de Joel Cohen, Estudios prospectivos, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador