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Federación Mexicana de Ginecología y Obstetricia, A.C.

2009, Number 08

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Ginecol Obstet Mex 2009; 77 (08)

Demographic impact of cesarean section

Rosales AE, Felguérez FJA

Language: Spanish
References: 14
Page: 362-366
PDF size: 594.38 Kb.


ABSTRACT

Background: in the vital statistics the cesarean section is a cause that makes reference to births and deaths.
Objective: to analyze the frequency of the cesarean section, the changes brought about in the rates of maternal, perinatal mortality and of natality, and their relation with reliable contraceptive methods.
Patients and method: retrospective study realized with the dices of patients of the Coordination of Reproductive Health of the Mexican Institute of the Social Insurance (IMSS) of the state of Aguascalientes (Mexico). The births were registered majors of 20 weeks of gestation, the maternal and perinatal deaths from 1990 to 2007 in the hospitals of the IMSS in Aguascalientes. The rate of cesarean calculated by means of the registry of the number of the same realized per year and they were divided between the total of vaginal and abdominal births, and the result multiplied percent.
Results: 201,563 obstetrical events were registered, of which 145,106 corresponded to vaginal childbirths and 56,457 abdominal ones. With these data a global rate of cesarean section of 28% was obtained, with 201,182 new born alive ones and 2,618 perinatal ones. The acceptance of the tubary bilateral occlusion maintained a constant increase during the period of study, like the intrauterine device. The acceptance from the bilateral occlusion was completely different tubary during the cesarean one, in comparison with the childbirth.
Conclusion: the long term results show positive influence in the reduction of the rate of natality.


REFERENCES

  1. Instituto Mexicano del Seguro Social. Dirección de Prestaciones Médicas. Conceptos básicos sobre demografía y salud reproductiva. 1a ed. México: IMSS, 2002;pp:9-12.

  2. Instituto Nacional de Perinatología. Procedimientos en Ginecología y Obstetricia. 1a ed. México: Publicaciones INP,1994;pp:1-11.

  3. Puentes RE, Gómez DO, Garrido LF. Las cesáreas en México: tendencias, niveles y factores asociados. Salud Pub Mex 2004;46:16-22.

  4. Cabezas GE, Delgado LA, Morales de OA, Pérez PG. Comportamiento de la cesárea en la SSA durante el periodo 1990- 1995. Ginec Obst Mex 1998;66:335-8.

  5. Villanueva EL. Operación cesárea: una perspectiva integral. Rev Fac Med UNAM 2004;47:246-50.

  6. Trujillo HB, Tene PC, Ríos SM. Factores de riesgo para cesárea: un enfoque epidemiológico. Gin Obst Mex 2000;68:306-11.

  7. Norma Oficial Mexicana para la Atención del Embarazo, Parto y Puerperio y del Recién Nacido. (NOM 007) Secretaría de Salud, 1995.

  8. Velasco MV, Navarrete HE, Cardona PJ, Madrazo NM. Aspectos epidemiológicos de la operación cesárea en el IMSS. Rev Med IMSS 1997;35:207-12.

  9. Juárez OS, Fajardo GA, Pérez PG, Guerrero MR, Gómez DA. Tendencia de los embarazos terminados por operación cesárea en México durante 1991-1995. Ginec Obst Mex 1999;67:308-17.

  10. Guzmán SA, Martín DA, Alfaro AN. ¿La reducción de cesáreas de 28 a 13% incrementa o no la mortalidad materna y perinatal: la gran duda? Ginec Obst Mex 1993;66:122-5.

  11. Loverro G, Greco P, Vimercati A, Nicolardi V, et al. Maternal complications associated with cesarean section. J Perinat Med 2001;29:322-6.

  12. Racinet C, Bouzid F. Cesariennes. In: Thoulon JM, Puech F, Boog Gr. editors. Obstétrique. 1re ed. Paris: Marketing Ellipses, 1995;pp:821-34.

  13. Millar JM. Maternal and neonatal morbidity and mortality in cesarean section. Obstet Gynecol Clin North Am. 1988;15:629-38.

  14. Rosales AE, Felguérez FJ. Impacto sociodemográfico de 15 años de planificación familiar. Ginecol Obtet Mex 2005;73:443-50.




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