Factors associated with cesarean delivery in a Peruvian Hospital

Castillo, Angel Eduardo Sinchitullo; Roldán-Arbieto, Luis; Arango-Ochante, Pedro

doi:10.25176/rfmh.v20i3.3049

Cited by 4 publications

(6 citation statements)

References 5 publications

(5 reference statements)

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“…29,39 Sinchitullo-Castillo et al also reported some risk factors for CS where 13.4% women had previous CS, 8.2% had PROM with infection and 4% presented with pre-eclampsia. 40 So, it is evident that the risk factors reported in this present study is in line with the international standards as results from other studies has almost the same finding like ours.…”

Section: Discussionsupporting

confidence: 91%

Incidence and risk factors associated with caesarean section among Bangladeshi women: a retrospective cross-sectional study

Nargis¹,

Khatun²,

Saha³

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Caesarean section is a lifesaving procedure in the presence of maternal and fetal complications. In recent decades the rate of caesarean section is increasing rapidly due to several associated risk factors. The objective of this study was to assess the prevalence and associated risk factors of C-sections among women at Kumudini Women's medical college. Methods: This retrospective cross-sectional study was conducted at the department of obstetrics and gynaecology in Kumudini Women's Medical College, Tangail, Bangladesh. The study was conducted during the period of July 2019 to January 2020. The total sample size this study was 2105. Results: Majority 696 (33.1%) of participants were aged between 18-24 years and followed by 464(22%) aged 25-30, 569 (27%) aged 31-35 and the rest 376 (17.9%) were aged 36-40 years. A significant association was noticed in respect of previous history of CS, gestation age and fetal weight with the type of delivery (p value, 0.000, 0.033, 0.021). whereas in parity there was no significant relationship with caesarean section (p value, 0.421). A significant association was noticed in respect of pre-eclampsia, eclampsia induction failure, fetal distress, APH, twin, malpresentation, and the type of delivery (p value, 0.02, 0.003, 0.001, 0.001, 0.002, 0.04, 0.03 and 0.1). Whereas in PROM there was no significant relationship with caesarean section (p value=0.1). Conclusions: This study concludes that the incidence of caesarean sections is seemed to be very high in Bangladesh. Although it is a life-saving procedure, it is important to choose carefully when performing a C-section birth.

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Section: Discussionsupporting

confidence: 91%

Incidence and risk factors associated with caesarean section among Bangladeshi women: a retrospective cross-sectional study

Nargis¹,

Khatun²,

Saha³

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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“…En cuanto a la edad de las gestantes en nuestro estudio, se encontró un promedio de 32 años, en línea con lo reportado en investigaciones similares como la de Herrera (13) . Sin embargo, esto difiere de los hallazgos de Barrena (14) y Roldán (15) , quienes reportaron edades promedio más jóvenes en sus estudios. En relación con el nivel educativo, la mayoría de las participantes en nuestro estudio, así como en los estudios de Hernández (16) , Roldán (15) y Herrera (13) , tenían educación secundaria completa, aproximadamente un 50%.…”

Section: Discussionunclassified

“…Respecto al lugar de origen de las gestantes, San Juan de Lurigancho se destacó como el distrito con mayor número de casos en nuestro estudio, un dato que coincide con lo reportado por Roldán (15) , aunque en nuestro estudio la prevalencia es aún mayor. En cuanto al estado civil, la mayoría de las pacientes eran convivientes, lo cual es similar a los resultados encontrados en las investigaciones de Barrena (14) , Alfonso (17) y Pareja (12) .…”

Section: Discussionunclassified

“…Por otro lado, Roldán (15) encontró una prevalencia menor de cesáreas previas en el Hospital Militar Central, similar a otros factores como distocia de producto y desproporción cefalopélvica. Durante la pandemia de COVID-19, el Instituto Nacional Materno Perinatal reportó una disminución en la indicación de cesáreas, aunque las cesáreas previas siguieron siendo una indicación prevalente (23) .…”

Section: Discussionunclassified

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Characterization of Cesarean Pregnant Women With a History of Previous Cesarean Section in a Tertiary Level Hospital in Lima, Peru

Fernandez Gaitan,

Luna Figueroa

2024

Rev Peru Investig Matern Perinat

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Introduction. Cesarean section is one of the most predominant surgical procedures worldwide. In Peru, national data shows that our rates fluctuate around 36%, and a prevalent factor in the indication for cesarean delivery is previous cesarean section. Objective. To determine the prevalence of previous cesarean section as an indication for cesarean delivery in a Peruvian hospital during the period from January to December 2022. Materials and Methods. A descriptive study was carried out based on the information from the medical records of pregnant women with an indication for cesarean delivery attended in a hospital. From a population of 6100 pregnant women attended in 2022, a total of 236 medical records of patients who underwent cesarean section with a history of cesarean section were obtained. Sociodemographic and clinical information was extracted. Results. It was found that the prevalence of previous cesarean section as an indication for cesarean delivery was 21.6%. The average age of the patients attended was 32.5 years, the most prevalent level of education was complete secondary education with 57.6%, 75.4% of patients were cohabiting, and finally, the prevalent number of pregnancies that these patients had was two. Conclusions. Approximately one-fifth of the patients with an indication for cesarean delivery had the indication due to previous cesarean section.

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“…Además de considerar las implicaciones legales médicas de que el riesgo de realizar este procedimiento debe estar completamente justificado 4. Las cesáreas han aumentado en las últimas décadas en la medida en que actualmente están surgiendo como una solución desde que se incorporaron a la práctica obstétrica para resolver problemas que podrían significar la muerte de madres y / o niños. Ahora se considera un problema de salud pública debido a la excesiva liberalización que condujo 4 . El Hospital Regional Guillermo Díaz de la Vega de Abancay atiende a pacientes de toda la región, así como referencias de provincias cercanas o alejadas, realizándose cesáreas con suma frecuencia.…”

Section: Planteamiento Del Problemaunclassified

Factores asociados a la indicación de cesárea en el Hospital Regional Guillermo Díaz de La Vega - Abancay 2021

Loayza Quispe

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Objetivo. Identificar los factores asociados a la indicación de cesárea en el Hospital Regional Guillermo Díaz de la Vega de Abancay en el año 2021. Metodología. Estudio de tipo observacional, trasversal, retrospectiva analítica de diseño casos y controles en 323 gestantes cuyo parto termino en cesárea (Casos) y 323 gestantes cuyo parto finalizó por vía vaginal (Controles). Los datos se obtuvieron a través de una ficha de recolección de datos. Resultados. Las características son: 44,9% (290) fueron gestantes con cesáreas previas, 9,4% (61) tuvieron preeclampsia, 15,3% (99) tuvieron distocia dinámica, 4,6% (30) tuvieron distocia de presentación, 13% (84) fueron macrosómicos, 5% (32) presentaron doble circular de cordón y 11,9% (77) presentaron rotura prematura de membranas. Los factores asociados al parto por cesárea fueron: La cesárea previa OR=1,7 (IC95%:1,27–2,38) p= 0,001, la preeclampsia OR= 2,4 (IC95%:1,36-4,21) p= 0,002, la distocia dinámica OR= 2,8 (IC95%:1,76-4,46) p=0,000. La distocia de presentación OR= 3,5 (IC95%:1,46–8,18) p= 0,003 y macrosómia fetal OR= 2,1 (IC95%:1,29-3,36) p= 0,002. Doble circular de cordón OR=2,2 (IC95%:1,07–4,91) p= 0,030 y la rotura prematura de membranas OR=1,9 (IC95%:1,15-3,08) p=0,011. Conclusiones: Los factores asociados a la indicación de cesárea en el Hospital Regional Guillermo Díaz de la Vega de Abancay en el año 2021 son de tipo maternos, fetales y ovulares.

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Factors associated with cesarean delivery in a Peruvian Hospital

Abstract: permite el uso no comercial, distribución y reproducción en cualquier medio, siempre que la obra original sea debidamente citada. Para uso comercial, por favor póngase en contacto con

Cited by 4 publications

References 5 publications

Incidence and risk factors associated with caesarean section among Bangladeshi women: a retrospective cross-sectional study

Incidence and risk factors associated with caesarean section among Bangladeshi women: a retrospective cross-sectional study

Characterization of Cesarean Pregnant Women With a History of Previous Cesarean Section in a Tertiary Level Hospital in Lima, Peru

Factores asociados a la indicación de cesárea en el Hospital Regional Guillermo Díaz de La Vega - Abancay 2021

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