medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2021, Number 4

<< Back Next >>

Acta Med 2021; 19 (4)

Frequency and risk factors for cesarean delivery completion in a private hospital in Mexico City

Salinas PM, Santoyo HS, Lara BBI

Language: Spanish
References: 17
Page: 510-513
PDF size: 120.01 Kb.


ABSTRACT

Cesarean section (C-section) is a vital procedure when vaginal delivery poses a risk to the mother or the baby. The World Health Organization (WHO) states that the ideal C-section rate is between 10 and 15%. The characterization of this phenomenon is important for developing realistic preventive strategies, as their unmeasured realization is a global public health problem. Cross-sectional, observational, and retrospective study. Information on all obstetric events attended from March 2019 to August 2020 was analyzed, examining frequencies and risk factors. 714 obstetric events were reported in 17 months. The C-section rate was 83%. The differences between C-section-intervened women and those who completed their pregnancy vaginally were maternal age, weeks, and number of gestations. The rate of C-sections in the private sector is above WHO recommendations. A reduction of this trend can be thought feasible, since vaginal deliveries were higher in younger and primiparous women, appealing to the trend in new generations to respect the natural environment, which can be capitalized by the obstetrician to safeguard the welfare of the mother/fetal binomial.


REFERENCES

  1. Appropriate technology for birth. Lancet. 1985; 2(8452): 436-437.

  2. Organización Mundial de la Salud. Declaración de la OMS sobre las tasas de cesáreas. Ginebra, Suiza: OMS; 2015. [Acceso 28 de diciembre de 2020] Disponible en: https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/es/#:~:text=Desde%201985%2C%20los%20profesionales%20de,como%20en%20pa%C3%ADses%20en%20desarrollo

  3. Ye J, Betrán AP, Guerrero Vela M, Souza JP, Zhang J. Searching for the optimal rate of medically necessary cesarean delivery. Birth. 2014; 41(3): 237-244.

  4. World Health Organization, UNFPA, UNICEF, Mailman School of Public Health. Monitoring emergency obstetric care: a handbook. Geneva, Switzerland: World Health Organization; 2009.

  5. Ecker JL, Frigoletto FD Jr. Cesarean delivery and the risk-benefit calculus. N Engl J Med. 2007; 356(9): 885-888.

  6. Angulo VJ, Cortés SL, Torres GLG, Aguayo AG, Hernández HS, Ávalos NJ. Análisis de la mortalidad materna, en tres periodos, en el Hospital de Ginecología y Obstetricia del Centro Médico Nacional de Occidente. Ginecol Obstet Mex. 2007; 75(7): 384-393.

  7. García-Regalado JF, Montañez-Vargas MI. Signos y síntomas de alarma obstétrica Acerca del conocimiento que tienen las mujeres. Rev Med Inst Mex Seguro Soc. 2012; 50(6): 651-657.

  8. Karchmer KS, Fernández-del Castillo C. Obstetricia y medicina perinatal. Temas selectos. México: Colegio Mexicano de Especialistas en Ginecología y Obstetricia; 2006.

  9. Gunnervik C, Sydsjo G, Sydsjo A, Selling KE, Josefsson A. Attitudes towards cesarean section in a nationwide sample of obstetricians and gynecologists. Acta Obstet Gynecol Scand. 2008; 87(4): 438-444.

  10. Joseph KS, Young DC, Dodds L, O'Connell CM, Allen VM, Chandra S et al. Changes in maternal characteristics and obstetric practice and recent increases in primary cesarean delivery. Obstet Gynecol. 2003; 102(4): 791-800.

  11. Kabir AA, Steinmann WC, Myers L, Khan MM, Herrera EA, Yu S et al. Unnecessary cesarean delivery in Louisiana: an analysis of birth certificate data. Am J Obstet Gynecol. 2004; 190(1): 10-19.

  12. Heffner LJ, Elkin E, Fretts RC. Impact of labor induction, gestational age, and maternal age on cesarean delivery rates. Obstet Gynecol. 2003; 102(2): 287-293.

  13. Borges Damas, Sánchez Machado R, Domínguez Hernández R, Sixto Pérez A. El parto humanizado como necesidad para la atención integral a la mujer. Rev Cubana Obstet Ginecol. 2018; 44(3): 1-12.

  14. Uribe-Leitz T, Barrero-Castillero A, Cervantes-Trejo A, Santos JM, de la Rosa-Rabago A, Lipsitz SR et al. Trends of caesarean delivery from 2008 to 2017, Mexico. Bull World Health Organ. 2019; 97(7): 502-512.

  15. Ruiz-Sánchez J, Espino y Sosa S, Vallejos-Parés A, Durán-Arenas L. Cesárea: tendencias y resultados. Perinatol Reprod Hum. 2014; 28(1): 33-40.

  16. Águila Setién S, Breto García A, Cabezas Cruz E, Delgado Calzado JJ, Santisteban Alba E. Obstetricia y perinatología diagnóstico y tratamiento. 2a ed. Cuba: Editorial Ciencias Médicas; 2014. pp. 66-68.

  17. Instituto Mexicano del Seguro Social. Guía de Práctica Clínica para la Reducción de la Frecuencia de Operación Cesárea. México: Instituto Mexicano de Seguro social; 2009, actualización 2014. Disponible en: http://www.imss.gob.mx/sites/all/statics/guiasclinicas/048GER.pdf




2020     |     www.medigraphic.com