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• W1950964080 abstract "Resumen Introduccion: La operacion cesarea se realiza actualmente con mayor frecuencia, sin embargo, el nacimiento por esta via esta asociado a complicaciones hasta en 15 % de los casos y la mortalidad materna es seis veces mayor que posterior a parto vaginal. En este trabajo identificamos la morbilidad materna asociada a cesarea. Material y metodos: Estudio transversal descriptivo en el que se determino la morbilidad materna asociada a cesarea en las pacientes intervenidas de enero a diciembre de 2006, en el Hospital de Gineco-Obstetricia, Centro Medico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco. Las variables investigadas fueron caracteristicas demograficas y obstetricas, tipo de cirugia (electiva o urgente), abordaje quirurgico, dias de estancia hospitalaria, y la presencia y tipo de complicaciones. Se estimo la prevalencia de cada complicacion y se identifico la morbilidad y mortalidad originadas por ellas. Resultados: En el periodo de estudio se realizaron 2827 cesareas. La edad promedio fue de 28.7 ± 6.2 anos. La cesarea se realizo como urgencia y electiva en 2285 (80.82 %) y 542 (19.17 %) casos, respectivamente. Hubo 685 (24.23 %) complicaciones en 593 pacientes (20.97 %); de ellas, 460 (16.2 %) y 133 (4.7 %) fueron como urgencia y electiva, respectivamente. Las complicaciones mas frecuentes fueron hemorragia (540, 19.1 %), infeccion (38, 1.34 %), laceracion cervical o cervicouterina (32, 1.13 %), lesion vascular (11, 0.39 %) y fenomeno tromboembolico (seis, 0.21 %). Hubo 12 muertes maternas (0.42 %). La estancia hospitalaria promedio fue de 4.43 ± 3.03, 4.5 ± 3.14, y 4.09 ± 2.5 dias para poblacion general, cirugia de urgencia y cirugia electiva, respectivamente. Conclusiones: Nuestras observaciones demuestran que la morbilidad materna asociada a la cesarea es superior a la informada en la literatura. La perdida sanguinea superior a 500 ml fue la complicacion mas frecuente y la unica causa de muerte materna despues de cesarea. Palabras clave: Operacion cesarea, mortalidad materna. Summary Background: At present, cesarean section (CS) is performed frequently, and delivery with CS is associated with complications in up to 15% of the cases. Maternal mortality is six times higher after CS than vaginal delivery. In this study we estimated maternal morbidity associated with CS. Methods: In this descriptive cross-sectional study, maternal morbidity associated with CS was evaluated in all patients operated on between January and December 2006. Variables analyzed included demographic and obstetrical data, type of surgery (elective or urgent), surgical approach, hospital stay, and presence and type of complications. Prevalence of complications as well as associated morbidity and mortality were all identified. Results: During the study period, a total of 2827 CS were performed. Average age was 28.7 ± 6.2 years. CS was performed both as an emergency procedure and electively in 2285 (80.82%) and 542 (19.17%) cases, respectively. There were 685 (24.23%) complications in 593 patients (20.97%); 460 (16.2%) and 133 (4.7%) were performed urgently and electively, respectively. The most frequent complications were hemorrhage (540, 19.1%), infections (38, 1.34%), cervical and/or cervicouterine lesions (32, 1.13%); vascular lesions (11, 0.39%), and thromboembolic phenomenon (6, 0.21%). There were 12 maternal deaths (0.42%). Mean hospital stay was 4.43 ± 3.03, 4.5 ± 3.14, and 4.09 ± 2.5 days for the general population, urgent surgery and elective surgery, respectively. Conclusions: Our observations demonstrate that maternal morbidity associated with CS is higher than that reported in the literature. Blood loss >500 ml was the most frequent complication and the only cause of maternal death after CS." @default.
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• W1950964080 date "2008-01-01" @default.
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• W1950964080 title "Morbilidad materna asociada a operación cesárea" @default.
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