Incidencia de partos vaginales en mujeres con cesárea uterina previa ingresadas en la Maternidad Materno Infantil Matilde Hidalgo de Procel del 2014 a 2015
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
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Durante mucho tiempo se ha mantenido el postulado de que después de cesárea, siempre cesárea, el mismo que fue emitido en una época en la que la cesárea con incisión clásica era lo habitual. Este estudio lo realizamos en el Hospital Materno Infantil Matilde Hidalgo de Procel, determinamos que el índice que partos mediante cesárea aumenta de una manera considerable. OBJETIVOS: El principal objetivo fue determinar la incidencia del parto vaginal después de una cesárea para dar un diagnóstico clínico obstétrico eficaz. METODOLOGIA: El universo estuvo representado por 300 embarazadas con cesárea uterina previa, en las que obtuvimos una muestra de 68 pacientes que terminan en parto vaginal, se realizó estudio observacional de corte transversal. RESULTADOS: Del total de 300 gestantes con cesárea previa ,232 que representan el 77.34% de la muestra fueron sometidas a una nueva cesárea, 68 que representan el 22.66% tuvieron parto por vía vaginal .De las 68 pacientes el mayor porcentaje corresponde al 39.71% a gestantes entre 21 a 25 años de edad considerándose que las edades mayores a 36 hasta 40 años en un porcentaje del 11.76%.De las 68 pacientes el mayor porcentaje corresponde al 39.71% a gestantes entre 21 a 25 años de edad considerándose que las edades mayores a 36 hasta 40 años en un porcentaje del 11.76%.La edad gestacional con más de 37 semanas corresponde el mayor porcentaje que es el 96% y menores de las 37 semanas que representa el 4% en mujeres de parto vaginal después de una cicatriz uterina previa. CONCLUSIONES: Nuestros resultados concuerdan con los reportes en otras investigaciones de parto vaginal después de una cesárea, la causa que motivo la cesárea previa.
For a long time has remained the postulate that after cesarean, always a cesarean, the same that was issued at a time when classical cesarean incision was usual. This study was conducted at the Maternity Hospital Matilde Noble of Procel, we determined that the index of births by caesarean section increases considerably. OBJECTIVES: The primary objective was to determine the incidence of vaginal birth after a cesarean section to give an effective obstetric clinical diagnosis. METHODOLOGY: The universe was represented by 300 pregnant women with previous uterine cesarean section, in which we obtained a sample of 68 patients ending in vaginal delivery, observational cross-sectional study was performed. RESULTS: Of the 300 pregnant women with previous cesarean section, 232 representing 77.34% of the sample were subjected to a cesarean, 68 representing 22.66% had vaginal delivery .In the 68 patients the highest percentage corresponds to 39.71% to pregnant women between 21-25 years of age considering that older ages 36-40 years at a rate of 11.76%. Of the 68 patients the highest percentage corresponds to 39.71% of pregnant women between 21-25 years of age considering that older ages 36-40 years at a rate of 11.76%. Gestational age over 37 weeks are the largest percentage is 96% and less than 37 weeks representing 4% in women of vaginal birth after a previous uterine scar. CONCLUSIONS: Our results are consistent with other research reports of vaginal birth after cesarean, what caused the previous cesarean.
For a long time has remained the postulate that after cesarean, always a cesarean, the same that was issued at a time when classical cesarean incision was usual. This study was conducted at the Maternity Hospital Matilde Noble of Procel, we determined that the index of births by caesarean section increases considerably. OBJECTIVES: The primary objective was to determine the incidence of vaginal birth after a cesarean section to give an effective obstetric clinical diagnosis. METHODOLOGY: The universe was represented by 300 pregnant women with previous uterine cesarean section, in which we obtained a sample of 68 patients ending in vaginal delivery, observational cross-sectional study was performed. RESULTS: Of the 300 pregnant women with previous cesarean section, 232 representing 77.34% of the sample were subjected to a cesarean, 68 representing 22.66% had vaginal delivery .In the 68 patients the highest percentage corresponds to 39.71% to pregnant women between 21-25 years of age considering that older ages 36-40 years at a rate of 11.76%. Of the 68 patients the highest percentage corresponds to 39.71% of pregnant women between 21-25 years of age considering that older ages 36-40 years at a rate of 11.76%. Gestational age over 37 weeks are the largest percentage is 96% and less than 37 weeks representing 4% in women of vaginal birth after a previous uterine scar. CONCLUSIONS: Our results are consistent with other research reports of vaginal birth after cesarean, what caused the previous cesarean.
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Incidencia, Parto vaginal, Parto vaginal después de cesárea, Edad gestacional, Morbilidad, Psicoprofilaxis obstétrica, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador