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[Cesarean section: frequency and indications]

O Uribarren Berrueta1, C Evangelista Salazar

  • 1Clínica Hospital, Dr. Miguel Trejo Ochoa, ISSSTE Colima, Col.

Ginecologia Y Obstetricia De Mexico
|June 1, 1993
PubMed
Summary

Cesarean section rates in 1988 were high at 34.8%, exceeding national and international benchmarks. Improved clinical assessment is crucial to reduce unnecessary cesarean births and associated health risks.

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Ginecologia y obstetricia de Mexico·1992
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Area of Science:

  • Obstetrics and Gynecology
  • Public Health

Background:

  • The rate of cesarean section (CS) deliveries is a significant indicator of obstetric practice and maternal health.
  • High CS rates can signify potential overuse of the procedure, leading to increased maternal and infant risks, as well as greater healthcare resource utilization.

Purpose of the Study:

  • To analyze the cesarean section rate at Hospital Clinic "Dr. Miguel Trejo Ochoa" in 1988.
  • To identify the primary indications for cesarean sections.
  • To evaluate the demographic profile of patients undergoing cesarean section.

Main Methods:

  • Retrospective analysis of cesarean section data from Hospital Clinic "Dr. Miguel Trejo Ochoa" for the year 1988.
  • Review of principal diagnoses leading to cesarean delivery.
  • Demographic analysis of patients, focusing on age distribution.

Main Results:

  • The cesarean section rate was 34.8%, significantly higher than national and international averages.
  • The primary indications for cesarean section were cephalopelvic disproportion and previous cesarean section.
  • A majority of patients (74%) undergoing cesarean section were between 20 and 30 years old.

Conclusions:

  • The high cesarean section rate necessitates a review of clinical practices and indications.
  • Enhanced clinical assessment is required to ensure cesarean sections are performed only when medically necessary.
  • Reducing non-indicated cesarean sections can mitigate health risks and decrease institutional demands.

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