Analysis of the Cesarean Index in Patients Primigests of Different Age Groups

Mayela Diamantina Cruz-Gutiérrez* and Abel Guzman-Lopez

Department of Obstetrics and Gynecology, School of Medicine and University Hospital “Dr. Jose Eleuterio Gonzalez”, Universidad Autonoma de Nuevo Leon, México

^*Correspondance to: Mayela Diamantina Cruz-Gutiérrez 

 PDF  Full Text DOI: 10.25107/2474-1647.2853

Abstract

Introduction: Cesarean section as a birth route is associated with an increased risk of long-term complications, such as placenta previa, placental accretion, and post-operative, such as endometritis, dehiscence, and/or surgical wound infection. Objective: To describe the main indications in primigraphic patients divided into 3 age groups who attended the “Dr. José Eleuterio González” for your attention from January 1, 2016 to December 31, 2016. Materials and Methods: Cross-sectional, observational, descriptive and prospective study in 384 patients. The pre-operative sheet of the clinical record was analyzed: The indication of the surgical procedure and information was collected from the newborns (weight, height, Apgar and Capurro), as well as aggregate pathologies. Results: Group 1 was made up of 281 patients with an average age of 16.8 years, group 2 included 101 patients with a mean age of 21.5 years, and group 3 consisted of 2 patients. The main indications for cesarean section were DCP×PN (33.9%), contraction dystocia (14.6%) and failed induction (13%). Of the total number of patients admitted, 10.6% were admitted with HDPC of which, 31.7% classified as gestational hypertension, 36.58% were categorized as mild preeclampsia, 21.95% ended as severe preeclampsia, and 9.75% were categorized as eclampsia. Conclusion: There is no difference between the main indications for caesarean section among the studied population (women younger than 20 years old, aged between 21 to 35 years old and older than 36 years old).

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Cite the article

Cruz-Gutiérrez MD, Guzman-Lopez A. Analysis of the Cesarean Index in Patients Primigests of Different Age Groups. Clin Surg. 2020; 5: 2853..