Caracterización de cesáreas primitivas en Santa Cruz del Norte / Characterization of Primitive Cesareans in Santa Cruz Del Norte
Rev. cuba. obstet. ginecol
; 43(3): 66-79, jul.-set. 2017. ilus, tab
Article
en Es
| CUMED
| ID: cum-73559
Biblioteca responsable:
CU1.1
Ubicación: CU1.1
RESUMEN
Introducción: la operación cesárea ha incrementado en Latinoamérica y en gran parte del mundo en los últimos años. Objetivo: establecer el comportamiento de las cesáreas primitivas en Santa Cruz del Norte en un período de 15 meses. Métodos: se realizó un estudio descriptivo transversal desde julio de 2012 hasta septiembre de 2013 con un universo de 127 pacientes sometidas a cesárea primitiva y una muestra que se hizo coincidir con el universo. Los datos se recolectaron mediante la revisión del libro de registro de nacimientos, la historia clínica obstétrica y hospitalaria. Estadísticamente se empleó la distribución de frecuencias, porcentaje, índice, prueba t de Student y chi cuadrado. ..
ABSTRACT
Introduction: The cesarean section has increased in great scale in Latin America and all over the world in the last years. Objective: Establish the actual state of cesarean section in Santa Cruz del Norte in a period of 15 months. Methods: a cross section study was conducted from July 2012 to September 2013 in a universe of 127 patients with cesarean section for the first time; the whole universe was intentionally selected to compose the sample. The data were collected by the review of book of births, clinical and obstetric records and they were processed using frequency distribution, percentage, rate, Student's test and Ji-square. Results: The cesarean section rate was elevated (34,9 percent) keeping the same temporal tendency, mostly due to antepartum meconium with poor cervix conditions (29,9 percent), non-reassuring fetal status (14,2 percent) and cephalo-pelvic disproportion (14,2 percent ). 59,8 percent had incorrect cesarean classification and prophylaxis with antibiotics was mainly incorrect in 74,8 percent. Respiratory distress (8,7 percent) and perinatal asphyxia (6,3 percent) were the most frequently neonatal complications, whereas postpartum hemorrhage (10,2 percent) and endometritis (8,7 percent) were the most frequently in mothers. Conclusions: High rate of cesarean sections was found, most of them with unjustified indications and a wrong management of the classification and surgical prophylaxis leading to neonatal and maternal complications(AU)
Palabras clave
Texto completo:
1
Colección:
06-national
/
CU
Base de datos:
CUMED
Asunto principal:
Cesárea
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Female
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Humans
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Pregnancy
Idioma:
Es
Revista:
Rev. cuba. obstet. ginecol
Año:
2017
Tipo del documento:
Article