[Indication for cesarean section: review of 300 cases]

The indications of the cesarean surgery, nere determined sample of 300 cases was studied in the period form January to February 1995, of a total of 4385 patients, all of them attended in the Specialties Regional Hospital No. 23 "Dr. Ignacio Morones Prieto" of the Instituto Mexicano del Seguro Social. It was selected a non aleatory sample analyzing the variates instruction of the cesarean surgery. The first cause of surgery indication was the cephalopelvic disproportion, followed by previous cesarean, preeclampsia, severe fetal suffering and abnormal position. The cesarean surgery index was of 45.08%, which is high if it is compared with other medical publications of our country. To decrease the surgery incidence, we have to keep guard on the women with previous uterine surgery, with a good pelvic evaluation, prenatal estimate of the fetus weight, hospital and surgeons quality attention, in order to reduce the indexes of surgeries due to these causes.