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Federación Mexicana de Ginecología y Obstetricia, A.C.

2021, Number 12

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Ginecol Obstet Mex 2021; 89 (12)

Maternal complications during cesarean section in patients with severe preeclampsia

Vázquez-Rodríguez JG, Arellano-Cornejo KJ, Vázquez-Arredondo JG, Del Ángel-García G, Gaona-Ramírez MI

Language: Spanish
References: 13
Page: 956-962
PDF size: 183.02 Kb.


ABSTRACT

Objective: To identify maternal complications during cesarean section in patients with severe preeclampsia.
Materials and Methods: Retrospective, cross-sectional, descriptive study carried out in pregnant patients with severe preeclampsia attended at the High Specialty Medical Unit of the Obstetrics and Gynecology Hospital 3 of the National Medical Center La Raza between September 1, 2020 and May 31, 2021. The following were recorded: indication for surgery (maternal or feto-placental), complications and their outcome, length of stay in the intensive care unit and hospitalization, and maternal death. Descriptive statistics were used with the statistical program SPSS v 20.
Results: 100 patients were studied with mean age 30.5 ± 5.85 years (limits 17 and 43), median parity 2 (limits 1 and 6), weeks of pregnancy 33.08 ± 3.9 (limits 26 and 39.4), weight 77.98 ± 15.87 kg (limits 42 and 120), height 1.57 ± 0.07 m (limits 1.36 and 1.73) and BMI 31.46 ± 5.54 (limits 22.15 and 48.44). Ninety of them terminated the pregnancy by cesarean section indicated by: hypertensive crisis (81%), HELLP syndrome (17%), eclampsia (2%) and feto-placental in 10% (unreliable fetal status 5%, premature rupture of membranes 2%, anhydramnios 2%, growth restriction 1%). There were 12% complications (uterine atony (6%), uterine artery injury (2%), hysterorrhaphy commissure tear (1%), hysterorrhaphy hematoma (1%), broad ligament hematoma (1%) and layer bleeding (1%). All complications were corrected within the same surgical time. The mean time from hospitalization to termination of pregnancy was 6.26 ± 2.26 hours, intensive care stay 1.36 ± 0.69 days and maternal death 0%.
Conclusion: The frequency of complications was low, perhaps because these patients underwent surgery in a high specialty hospital.


REFERENCES

  1. Caesarean birth. NICE guideline (NG192). Publicadas el 31 marzo de 2021. https://www.nice.org.uk/guidance/ng192/ resources/caesarean-birth-pdf-66142078788805

  2. Fernández-Alonso AM, Vizcaíno A, Rodríguez-García I, Carretero P, et al. Hemorragia durante la cesárea: factores de riesgo. Clin Invest Gin Obst 2010; 37 (3): 101-5. https:// www.elsevier.es/es-revista-clinica-e-investigacion-ginecologia- obstetricia-7-pdf-S0210573X09001518

  3. Organización Mundial de la Salud. Mortalidad materna. 19 de septiembre de 2019. https://www.who.int/es/newsroom/ fact-sheets/detail/maternal-mortality

  4. Consejo Nacional de Evaluación de la Política de Desarrollo Social. Evaluación Estratégica sobre Mortalidad Materna en México 2010: características sociodemográficas que obstaculizan a las mujeres embarazadas su acceso efectivo a instituciones de salud. Ciudad de México: CONEVAL. 2012. https://www.coneval.org.mx/Informes/Evaluacion/ Mortalidad%20materna%202010/INFORME_MORTALIDAD_ MATERNA.pdf

  5. Pallasmaa N. Cesarean section–short term maternal complications related to the mode of delivery. Annales Universitatis Turkuensis 2014. https://www.utupub.fi/ bitstream/handle/10024/96742/AnnalesD1119Pallasmaa. pdf?sequence=2&isAllowed=y

  6. Irene K, Amubuomombe PP, Mogeni R, Andrew C, Ann Mwangi A, Omenge OE. Maternal and perinatal outcomes in women with eclampsia by mode of delivery at Riley mother baby hospital: a longitudinal case-series study. BMC Pregnancy and Childbirth 2021; 21: 439. https://bmcpregnancychildbirth. biomedcentral.com/track/pdf/10.1186/ s12884-021-03875-6.pdf

  7. Gestational hypertension and preeclampsia, ACOG Practice Bulletin No. 202, American College of Obstetricians and Gynecologists, Obstet. Gynecol 2019; 133: e1–e25. https:// emcrit.org/wp-content/uploads/2016/12/10.1097@ AOG.0000000000003018.pdf

  8. Teixeira S, Machado HS. Who caesarean section rate: relevance and ubiquity at the present day. A review article. J Preg Child Health 2016; 3 (2): 233. file:///C:/ Users/WINDOWS_10/Downloads/who-caesarean-sectionrate- relevance-and-ubiquity-at-the-present-day--areviewarticle- 2376-127X-1000233.pdf

  9. Vázquez-Rodríguez JG. Presión coloidosmótica plasmática, índice de Briones y ascitis en preeclampsia-eclampsia. Cir Cir 2010; 78: 137-43. https://www.medigraphic.com/pdfs/ circir/cc-2010/cc102f.pdf

  10. Bergholt T, Stenderup JK, Vedsted-jakobsen A, Helm P, et al. Intraoperative surgical complication during cesarean section: an observational study of the incidence and risk factors. Acta Obstet Gynecol Scand 2003; 82: 251-56. https://obgyn.onlinelibrary.wiley.com/doi/epdf/10.1034/ j.1600-0412.2003.00095.x

  11. Nomura RMY, Alves EA, Zugaib M. Maternal complications associated with type of delivery in a university hospital. Rev Saúde Pública (Brasil) 2004; 38 (1): 9-15. https:// www.scielo.br/j/rsp/a/fpc3VBDdbKvss533VYyYmjh/?lan g=en&format=pdf

  12. Umbeli T, Salah I, Kunna A, Elmahgoub A, et al. Maternal and neonatal complications associated with caesarean section in the second stage of labour at Omdurman maternity hospital during 2012-2013. Merit Res J Med Med Sci 2014; 2 (10): 225-28. https://meritresearchjournals. org /mms/content/2014/October/Umbeli%20 et%20al.pdf

  13. Jain M, Patel A. A cross sectional study of rate, indications and complications of primary caesarean section. Int J Reprod Contracept Obstet Gynecol 2016; 5 (6): 1814-19. https://www.ijrcog.org/index.php/ijrcog/article/ view/1215/1120




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