Abstract

SALINAS PEREZ, Martín; SANTOYO HARO, Samuel  and  BARRAGAN BERNAL, Ignacio Lara. Frequency and risk factors for cesarean delivery completion in a private hospital in Mexico City. Acta méd. Grupo Ángeles [online]. 2021, vol.19, n.4, pp.510-513.  Epub Aug 01, 2022. ISSN 1870-7203.  https://doi.org/10.35366/102537.

Cesarean section (C-section) is a vital procedure when vaginal delivery poses a risk to the mother or the baby. The World Health Organization (WHO) states that the ideal C-section rate is between 10 and 15%. The characterization of this phenomenon is important for developing realistic preventive strategies, as their unmeasured realization is a global public health problem. Cross-sectional, observational, and retrospective study. Information on all obstetric events attended from March 2019 to August 2020 was analyzed, examining frequencies and risk factors. 714 obstetric events were reported in 17 months. The C-section rate was 83%. The differences between C-section-intervened women and those who completed their pregnancy vaginally were maternal age, weeks, and number of gestations. The rate of C-sections in the private sector is above WHO recommendations. A reduction of this trend can be thought feasible, since vaginal deliveries were higher in younger and primiparous women, appealing to the trend in new generations to respect the natural environment, which can be capitalized by the obstetrician to safeguard the welfare of the mother/fetal binomial.

Keywords : Caesarean sections; risk factors; health services; maternal death.