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1999, Number 2

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Rev Mex Pediatr 1999; 66 (2)

Comparación de la morbilidad y la mortalidad neonatal en niños nacidos por cesárea vs parto vaginal

Acuña VER, Rodríguez BI

Language: Spanish
References: 17
Page: 40-45
PDF size: 131.33 Kb.


ABSTRACT

Objective. The objective was determinate the perinatal maternal complications and the neonatal morbidity of the cesarean versus vaginal delivery.
Material and methods. All the deliveries in five months, are divided in 3 groups: group A newborns obtained by programmed cesarean section, group B newborns obtained by cesarean section with labor and group C newborns obtained with vaginal delivery without previous cesarean section. We are analized perinatal maternal variables, births data, neonatal morbidity, diagnostic test and therapeutic interventions.
Results. There were 1,722 deliveries, the 67.4% (group A) delivery by programmed cesarean 19% by cesarean section with labor (group B) and 13.6% by vaginal delivery (group C). We found more cases with meconium amniotic fluid in the groups B and C compared with group A (p ‹ .001), in the group B there were more fetal suffering (p ‹ .001), related to the gestational age all the groups born at term, the group A had a week less tham the others group (p ‹ .001).
In the general neonatal morbidity did’nt find differences only the meconium aspiration and comprobated sepsis in the group B (p ‹ .001), there were more prematures in the group A than the others groups.
Conclusion. The frequeny of elective cesarean is elevated; more in the cases without previous labor; the frequency of prematurity is very high.


REFERENCES

  1. Sistema Estatal de Información Básica. Subsistemas de Recursos. Dirección General de Estadística e Informática. Secretaría de Salud 1996.

  2. Notzon FC.International Differences in the Use of Obstetric Interventions. JAMA 1990; 263: 3286-3291.

  3. Goldenberg RI, Nelson K. Iatrogenic respiratory distress syndrome. An analysis of obstetric events preceding delivery of infants who develop respiratory distress syndrome. Am J Obstet Gynecol 1975; 123: 617-620.

  4. Brenda H. Neonatal morbidity after elective repeat cesarean section and trial of labor. Pediatrics 1997; 100: 348-353.

  5. Craiging EB. Conservatism in obstetrics. N.Y. State J Med 1916; 104: 1-3

  6. Guzmán SA, Alfaro AN. Intento de parto vaginal en 1000 pacientes con antecedente de una cesárea previa en el antiguo Hospital Civil de Guadalajara. Ginec Obstet Mex 1998; 66: 325-329.

  7. Panduro BJG, Panduro BLJ. Análisis de 500 cesáreas practicadas por un residente. Ginec y Obstet de Mex 1988; 5: 149-152.

  8. American College of Obstetricians and Gynecologists. Committee on Obstetrics. Maternal and fetal medicine guidelines for vaginal delivery after a previous cesarean birth. ACOG Committee Opinion No. 64. Washington, DC: American College of Obstetricians and Gynecologists 1988.

  9. American College of Obstetricians and Gynecologists. Conmittee on Obstetrics. Maternal and fetal medicine guidelines for vaginal delivery after a previous cesarean birth. ACOG Comittee Opinion No 53. Washington, DC: American College of Obstetricians and Gynecologists 1982.

  10. American College of Obstetricians and Gynecologists. Committee on Obstetrics. Maternal and fetal medicine. Fetal maturity assesment prior to elective repeat cesarean delivery. ACOG Comittee No 98. Washington, DC: American College of Obstetricians and Gynecologists 1991.

  11. Taffel SM, Placke PJ, Moien M. One fifth of 1983 U.S. births by cesarean section. Am J Public Health 1985; 75: 190.

  12. Taffel SM, Placke PJ, Liss T. Trends in the United States cesarean section rate and the reason for 1980-1985 rise. Am J Public Health 1987; 77: 995-999.

  13. Miller DA , Díaz FG , Paul RH. Vaginal birth after cesarean: A 10 years experience. Obstet Gynecol 1994; 84: 255-258.

  14. Flamm BL, Going JR. Elective Repeat cesarean delivery versus trial of labor: A prospective multicenter study. Obstet Gynecol 1994; 83: 927-932.

  15. McMahon MJ, Luther ER. Comparison of trial of labor with an elective second cesarean section. N Engl J Med 1996; 335: 689-695.

  16. Evelio CG, Delgado LA. Comportamiento de la cesárea en la SSA durante el periodo 1990-95. Ginec Obstet Mex 1998; 66: 335-339.

  17. Daniel WW. Bioestadística: base para el análisis de las ciencias de la salud. México: Limusa, SA de CV 1995: 345-451.




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