Determinación y causales de la prevalencia de cesárias en el Hospital de Rocafuerte - Manabí 2010
Fecha
2013
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Universidad de Guayaquil. Unidad de Postgrado. Investigación y Desarrollo
Resumen
En el Ecuador la prevalencia de cesáreas ha aumentado de una manera alarmante, motivo por el cual, ha sido considerada como una verdadera epidemia. El propósito del presente estudio es conocer la prevalencia de las cesáreas en el hospital cantonal de Rocafuerte de la provincia de Manabí en el año 2010 y las causales que las provocaron, con la finalidad de prevenir las cesáreas innecesarias y sus posibles complicaciones. El objetivo de esta investigación fue determinar las causales y los factores de riesgos del parto por cesárea al igual que las variables dependientes, independientes e intervinientes. Se consideró el total de las parturientas, se observó y analizó las historias clínicas, determinando las variables: datos de filiación, antecedentes gíneco-obstétricos, factores de riesgos, complicaciones y causa de las cesáreas. Los materiales que se utilizaron fueron las historias clínicas y archivos del hospital, además de recursos humanos y materiales; el método utilizado fue descriptivo, retrospectivo. El universo estuvo constituido por todas las pacientes que ingresaron al hospital cantonal de Rocafuerte para ser atendidas en su parto; el total de las pacientes fue de 460 de las cuales 200 fueron partos por cesáreas. El período fue desde el 1 de enero al 31 de diciembre del 2010. Los resultados fueron puestos a consideración de los directivos del hospital y difundido a los médicos que laboraban en la institución y a la unidad central del M.S.P. Fue viable porque el investigador trabajó en el departamento de gínecoobstetricia y tuvo acceso a la información.
In Ecuador, the prevalence of caesarean sections has increased at an alarming rate, why, has been regarded as an epidemic. The purpose of this study was to determine the prevalence of caesarean sections in the cantonal hospital Rocafuerte Manabí province in 2010 and the reasons that led, in order to prevent unnecessary cesareans and possible complications. The objective of this research was to determine the causes and risk factors of cesarean delivery as the dependent variables, independent and intervening. We considered the total calving was observed and analyzed the medical records, identifying variables: personal data, Ob-obstetric history, risk factors, complications and causes of caesarean sections. The materials used were medical records and hospital records, as well as human and material resources; the method used was descriptive and retrospective. The universe consisted of all patients admitted to hospital cantonal Rocafuerte to be met in childbirth, the total was 460 patients of which 200 were caesarean deliveries. The period was from January 1 to December 31, 2010. The results were also submitted to hospital executives and disseminated to physicians who worked in the institution and the central unit of MSP Was feasible because the researcher worked in the Department of Ob-Gyn and had access to information.
In Ecuador, the prevalence of caesarean sections has increased at an alarming rate, why, has been regarded as an epidemic. The purpose of this study was to determine the prevalence of caesarean sections in the cantonal hospital Rocafuerte Manabí province in 2010 and the reasons that led, in order to prevent unnecessary cesareans and possible complications. The objective of this research was to determine the causes and risk factors of cesarean delivery as the dependent variables, independent and intervening. We considered the total calving was observed and analyzed the medical records, identifying variables: personal data, Ob-obstetric history, risk factors, complications and causes of caesarean sections. The materials used were medical records and hospital records, as well as human and material resources; the method used was descriptive and retrospective. The universe consisted of all patients admitted to hospital cantonal Rocafuerte to be met in childbirth, the total was 460 patients of which 200 were caesarean deliveries. The period was from January 1 to December 31, 2010. The results were also submitted to hospital executives and disseminated to physicians who worked in the institution and the central unit of MSP Was feasible because the researcher worked in the Department of Ob-Gyn and had access to information.
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Palabras clave
Cesárea, Factores de riesgo, Epidemiología descriptiva, Hospital Cantonal Rocafuerte, Cantón Rocafuerte, Ecuador