Prevalencia y factores asociados a primera cesárea, Hospital Vicente Corral Moscoso. Cuenca, 2019

Abstract

Background: caesarean section is the most frequent obstetric surgery in the world, it helps us to reduce morbidity such as maternal, neonatal and perinatal mortality. There are several causes such as cephalopelvic disproportion, non-reassuring fetal state, hypertensive disorders of pregnancy. Objective: to determine the prevalence and factors associated with first caesarean section in primigests who consult in the obstetrics department of the Vicente Corral Moscoso Hospital during the year 2019. Methodology: analytical, cross-sectional study, with 381 primiparous patients who were randomly selected with inclusion criteria. An information collection form created by the author was filled out. For the analysis the SPSS version 23 system was used, the results are shown in tables using frequency and percentages. In addition, Odds ratio, Chi square, 95% confidence interval, and a value of p <0.05 were used for the hypothesis. Results: adolescent girls represent 38.3%, free union civil status 44.8%, urban origin 56.1%, urban residence 55.3%, secondary education 74.5%, housewives with 64%, overweight corresponds to 52.2%. The prevalence of caesarean section is 38.1% at Vicente Corral Moscoso Hospital, 2019, there was statistical significance but no association with non-reassuring fetal status, presentation dystocia and hypertensive states. Conclusions: the prevalence of first caesarean sections was high with 38.1%, with statistical significance but no association with non-reassuring fetal status, presentation dystocia and hypertensive states, overweight or obesity was associated without statistical significance.