Estudio de las cesáreas en adolescentes Hospital de apoyo - II - IPSS - Tarapoto Enero 1989 – Diciembre 1991

• Autor: Delgado Ríos, Ángel
• Formato: tesis de grado
• Fecha de Publicación: 1992
• Institución: Universidad Nacional de San Martin - Tarapoto
• Repositorio: UNSM-Institucional
• Lenguaje: español
• OAI Identifier: oai:repositorio.unsm.edu.pe:11458/1279
• Enlace del recurso: http://hdl.handle.net/11458/1279
• Nivel de acceso: acceso abierto
• Materia: Cesáreas adolecentes; Indices morbi-mortalidad; Sufrimiento fetal; Presentación podálica

Study of 78 adolescents cesareans performed in the Department of Obstetrics and Gynaecology Hospital Support - II - IPSS - Tarapoto; between 1.989 to 1.991; in order to determine the incidence and compare them to other hospitals, the reasons for cesareans, establish morbidity and mortality rates and identify complications of the operation. For this, the medical records of 78 cases were studied retrospectively. It was observed that 78 cesarean constitute 9.7% of all births in adolescents, more than 67% were single or cohabiting and in the degree of instruction a low percentage of illiterate 2.56% was found, we will also note the high percentage of uncontrolled 61.54%. singing in the background Gynecology Obstetricians 7.69% were previous cesarean. The main complication of pregnancy toxemia and was premature rupture of membranes. In our series the most widely used type of operation was the primary segmental transverse segment only one case - hysterectomy - subtotal by uterine atomía. The main cause of cesarean section was fetal-pelvic incompatibility with 28.21% in the Secondly narrow pelvis with 15.40% and thirdly breech presentation 14.10%. We conclude that the number of teenagers cesareans remains increased as the years pass, and in our cases the narrow pelvis is not the main cause of cesarean section, fetal distress and breech presentation are indications we have to take into account.