Physiological birth in patients with previous cesarean section

Abstract

A cross sectional descriptive study was conducted at the Central Maternity Hospital in Windhoek from January to December 2008. The universe consisted of 528 patients who had undergone a cesarean section and were treated that year in order to reduce the number of cesarean sections performed. Medical records were reviewed to obtain the necessary information. A database that allowed the statistical analysis was created and several variables were considered: age, type of delivery, the first indication of cesarean section, birth weight and complications. It was concluded that most patients were between 20 and 25 years of age. There was a prevalence of patients with cesarean delivery in the second pregnancy (62.9%), while physiological birth was 37.1% in the second pregnancy. Appropriate weight of 3000-3999 grams (42.9%) was predominant. Complications were more frequent in patients who had cesarean delivery (37%), while they affected 20% of those who had a physiological birth. The results were expressed as tables and after a comprehensive literature review, conclusions and recommendations were issued.

Keywords

• cesárea repetida
• complicaciones intraoperatorias
• complicaciones postoperatorias