OBJETIVE: To evaluate the management of patients with a history of previous cesareada. DESIGN: Descriptive Method. LUGAR: Hospital IV Victor Lazarte Echegaray, EsSalud, Trujillo. MATERIAL AND METHODS: Patients undergoing cesarean section in the period May 1999 to April 2000. RESULTS: 1322 births were studied; of caesarean sections 618, 195 had a history of previous cesareada once, of which 97 were selected; of them, 40.2% were between 26 and 35 years. The most common causes of cesarean in previous cesareada were acute fetal distress (31.9%) and dysfunctional labor (28.9%). CONCLUSIONS: In patients with a history of previous cesareada, 46.4% ended in vaginal delivery and 53.6% by cesarean section.

OBJECTIVE: To determine the relationship of some epidemiological, clinical, diagnostic and therapeutic factors in ectopic pregnancy. DESIGN: Retrospective. LOCATION: Department of Gynecology of the Hospital Victor Lazarte Echegaray - EsSalud of Trujillo. MATERIALS AND METHODS: Fifty-one patients who had operative diagnosis of ectopic pregnancy in the period May 1995 to April 2000. RESULTS: Ectopic pregnancy had a frequency of 1 in every 133 births; 33.3% of patients were between 36 and 45 years old. The predisposing factors were pelvic inflammatory disease, infertility and uterine surgical curettage; the most widely used diagnostic method was ultrasound (66.7%); The most frequent location was tubal (90.2%); major complications were anemia (68.6%) and hypovolemic shock (13.7%). CONCLUSION: ectopic pregnancy related characteristics were similar to those described in the literature.

OBJETIVE: To evaluate the management of patients with a history of previous cesareada. DESIGN: Descriptive Method. LUGAR: Hospital IV Victor Lazarte Echegaray, EsSalud, Trujillo. MATERIAL AND METHODS: Patients undergoing cesarean section in the period May 1999 to April 2000. RESULTS: 1322 births were studied; of caesarean sections 618, 195 had a history of previous cesareada once, of which 97 were selected; of them, 40.2% were between 26 and 35 years. The most common causes of cesarean in previous cesareada were acute fetal distress (31.9%) and dysfunctional labor (28.9%). CONCLUSIONS: In patients with a history of previous cesareada, 46.4% ended in vaginal delivery and 53.6% by cesarean section.

OBJECTIVE: To determine the relationship of some epidemiological, clinical, diagnostic and therapeutic factors in ectopic pregnancy. DESIGN: Retrospective. LOCATION: Department of Gynecology of the Hospital Victor Lazarte Echegaray - EsSalud of Trujillo. MATERIALS AND METHODS: Fifty-one patients who had operative diagnosis of ectopic pregnancy in the period May 1995 to April 2000. RESULTS: Ectopic pregnancy had a frequency of 1 in every 133 births; 33.3% of patients were between 36 and 45 years old. The predisposing factors were pelvic inflammatory disease, infertility and uterine surgical curettage; the most widely used diagnostic method was ultrasound (66.7%); The most frequent location was tubal (90.2%); major complications were anemia (68.6%) and hypovolemic shock (13.7%). CONCLUSION: ectopic pregnancy related characteristics were similar to those described in the literature.