CARACTERIZACIÓN DE LAS GESTANTES CESAREADAS POR ANTECEDENTE DE CESÁREA PREVIA EN UN HOSPITAL DE TERCER NIVEL DE LIMA, PERÚ

Abstract

Introduction. Cesarean section is one of the most predominant surgical procedures worldwide. In Peru, national data shows that our rates fluctuate around 36%, and a prevalent factor in the indication for cesarean delivery is previous cesarean section. Objective. To determine the prevalence of previous cesarean section as an indication for cesarean delivery in a Peruvian hospital during the period from January to December 2022. Materials and Methods. A descriptive study was carried out based on the information from the medical records of pregnant women with an indication for cesarean delivery attended in a hospital. From a population of 6100 pregnant women attended in 2022, a total of 236 medical records of patients who underwent cesarean section with a history of cesarean section were obtained. Sociodemographic and clinical information was extracted. Results. It was found that the prevalence of previous cesarean section as an indication for cesarean delivery was 21.6%. The average age of the patients attended was 32.5 years, the most prevalent level of education was complete secondary education with 57.6%, 75.4% of patients were cohabiting, and finally, the prevalent number of pregnancies that these patients had was two. Conclusions. Approximately one-fifth of the patients with an indication for cesarean delivery had the indication due to previous cesarean section.