VAGINAL BIRTH IN PREGNANT CESAREA IN A GENERAL HOSPITAL OF PERU

Abstract

Objective: To determine the clinical profile and the main maternal perinatal complications of vaginal birth in pregnant women with previous caesarean section at the Hospital Santa María del Socorro Ica, in 2018. Materials and methods: A retrospective, descriptive, observational study was carried out. The medical records of patients with a normal evolutionary term pregnancy and a history of caesarean section in a previous pregnancy were reviewed. Ica in the year 2018, you will see a data collection sheet. Results: Data from 162 pregnant women in labor were analyzed, 128 (79%) achieved vaginal birth, while 34 (21%) had their pregnancy terminated by abdominal route. Among the sociodemographic characteristics predominated: The ages between 20 and 30 years (80%), the degree of secondary education (62%), single marital status (41%), employed occupation (44%) and of rural origin (81% In relation to maternal complications: postpartum hemorrhage was present in both groups 5.4% in vaginal delivery and 18% in abdominal delivery, the differences were severe (p <0.05). Regarding the perinatal factor: the pathology predominantly it was respiratory distress syndrome, the statistical difference was also significantly significant (p <0.05). Conclusions:Maternal complications in patients with vaginal or abdominal delivery with a history of caesarean section were postpartum hemorrhage and respiratory distress syndrome respectively.