Iterative cesarean sections - experience at the german urquidi maternal and infant hospital in cochabamba 2006 - 2007 - 2008

Iterative Cesaceae at HMIGU

Abstract

There is no doubt that cesarean section has contributed to the reduction of maternal and perinatal mortality. However, we should not underestimate the large number of possible complications, so this study aims to identify the incidence of iterative cesarean sections as a cause of maternal morbidity and mortality.

A descriptive, retrospective study was carried out, taking as a sample 1802 patients who met the inclusion criteria for the study, from 2006 to 2008, whose data were obtained after the review of medical records, on-call books and records, being able to demonstrate aspects already known typical of our population such as low number of prenatal check-ups, emergency iterative cesarean section, etc., The preponderant indication for iterative cesarean section being pregnancies with a large product, an indication that does not agree with the weight of the newborns; calling attention to the fact that a good percentage still consider previous cesarean section as an indication for repeat cesarean section, with post cesarean complications, such as infections, hemorrhages, obstetric hysterectomies, especially for placental accretism, with management of a good percentage of patients with hemoderivatives and maternal intensive care. Regarding the way pregnancy was resolved, we observed that 34% of the patients in the study ended their pregnancy by cesarean section, a very high figure if we compare it with other places in the continent, which should lead to reflection in order to modify behaviors for the wellbeing of our population.