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Inicio Progresos de Obstetricia y Ginecología Vía de parto tras cesárea anterior: factores asociados
Información de la revista
Vol. 46. Núm. 6.
Páginas 250-256 (enero 2003)
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Vol. 46. Núm. 6.
Páginas 250-256 (enero 2003)
Acceso a texto completo
Vía de parto tras cesárea anterior: factores asociados
Birth route after anterior cesarean section: associated factors
Visitas
6652
E. Rodríguez-Vega
Autor para correspondencia
erodriguezv@hcas.sespa.es

Correspondencia: Celestino Villamil, s/n. 33006 Oviedo. España
, A. Escudero, M. Gaite, M.T. Suárez
Servicio de Obstetricia y Ginecología. Hospital Central de Asturias. Centro Universitario. Oviedo. España
Este artículo ha recibido
Información del artículo
Resumen
Objetivo

Analizar si la vía de parto después de una cesárea está condicionada por el motivo de la cesárea previa, y si la vía vaginal comporta mayor número de complicaciones para la madre o el feto

Material Y Métodos

Estudio retrospectivo de 143 pacientes con cesárea previa y sin partos vaginales que dieron a luz en nuestro servicio en un período de 5 años

Resultados

Hubo diferencias estadísticamente significativas al comparar el tipo de parto con la indicación de la cesárea previa: un 100% de cesáreas con cesárea previa por primiparidad añosa; un 82,1% con desproporción pelvifetal; un 41,4% con riesgo de pérdida de bienestar fetal, y un 27,8% con presentación de nalgas

Conclusiones

La cesárea previa influye de forma decisiva en la probabilidad de tener un parto vaginal ulterior. Por otro lado, la vía vaginal no conlleva más complicaciones para la madre o para el feto

Palabras clave:
Cesárea
Cesárea previa
Parto vaginal
Summary
Objectives

To determine whether the cause of previous cesarean section influences the type of subsequent delivery and whether the vaginal route produces a greater number of fetal and/or maternal complications

Material And Methods

We performed a retrospective study of 143 patients with previous cesarean sections and without vaginal deliveries who subsequently gave birth in our service over a 5-year period

Results

Statistically significant differences were found when the type of delivery was compared with the cause of previous cesarean sections: when these were performed for advanced maternal age, fetopelvic incompatibility, fetal distress and breech presentation, the percentages of repeat cesarian section were 100%, 82.1%, 41.4% and 27.8% respectively

Conclusions

The cause of previous cesarean influences the probability of subsequent vaginal delivery. Vaginal delivery does not produce a greater number of maternal and/or fetal complications

Keywords:
Cesarean section
Previous cesarean section
Vaginal delivery
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Copyright © 2003. Sociedad Española de Ginecología y Obstetricia
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