Introduction: Cesareansection as a birth route is associated with an increased risk of long-term complications, such as placenta previa, placental accretion, and post-operative, such as endometritis, dehiscence, and / or surgical wound infection.
Objective: To describe themain indications in primigraphic patients divided into 3 age groups who attended the “Dr. José Eleuterio González” for your attention from January 1, 2016 to December 31, 2016.
Materials and methods: Cross-sectional, observational, descriptive and prospective study in 384 patients. The pre-operative sheet of the clinical record was analyzed: the indication of the surgical procedure and information was collected from the newborns (weight, height, Apgar and Capurro), as well as aggregate pathologies.
Results: Group 1 wasmade up of 281 patients with an average age of 16.8 years, group 2 included 101 patients with a mean age of 21.5 years, and group 3 consisted of 2 patients. The main indications for cesarean section were DCPxPN (33.9%), contraction dystocia (14.6%) and failed induction (13%). Of the total number of patients admitted, 10.6% were admitted with HDPCof which, 31.7% classified as gestational hypertension, 36.58% were categorized as mild preeclampsia, 21.95% ended as severe preeclampsia, and 9.75% were categorized as eclampsia.
Conclusions: Thereis no difference between the main indications for caesarean section among the studied population (women younger than 20 years old, aged between 21 - 35 years old and olderthan 36 yearsold).
Cesareansection; Cephalopelvic disproportion due to pelvictightness; Dystocia Induction; Fetal suffering