Factors associated with cesarean delivery in a peruvian hospital

Sinchitullo-Castillo A.E.; Roldán-Arbieto L.; Arango-Ochante P.M. · Revista de la Facultad de Medicina Humana (2020) · DOI: 10.25176/rfmh.v20i3.3049

Resumen

Introduction: Caesarean sections carry maternal and perinatal risks. Objective: To determine the factors associated with cesarean delivery in patients treated in the gynecology obstetrics service at the Hospital Militar Central, in the 2014-2018 period. Methods: Analytical, retrospective, case-control study; the population was vaginal or caesarean deliveries attended during the years 2014 to 2018. The sampling was systematic, and the sample size was 988 deliveries of which 329 were caesarean sections. Chi-square and logistic regression tests were applied to calculate the odds ratio; The analysis was carried out with the statistical program SPSS 23. Results: In pregnant women, previous caesarean section was a factor associated with caesarean section (OR = 1.55, 95% CI = 1.12-2.15); neither age, gestational age, nor prenatal controls were a factor associated with caesarean section (p>0.05). Educational level was also not a factor associated with caesarean section, but the number of children was (OR = 0.83, 95% CI = 0.72-0.95). Conclusion: Having previous caesarean sections, few children, an older age, were significant risk factors for cesarean delivery.

Instituciones: Universidad Ricardo Palma; Universidad Tecnológica del Perú