Resumen
Introduction: Newborn delivery in rural health centers focuses on uncomplicated vaginal deliveries. When dystocia is detected, patients are referred to a tertiary level of care center as emergencies. Objective: The main objective of this survey was to identify types of delivery determining how many pregnancies were resolved as vaginal deliveries, how many underwent episiotomy and how many were referred to a tertiary level of care center. Methodology: Descriptive study with a sample of 786 patients at the Barbara Health Center (CSB) for pregnancy resolution from January 2017 to December 2018. Results: Out of the 715 cases analyzed, 36 were cesarean sections, 102 underwent episiotomy during labor and 671 had an uncomplicated vaginal deliveries. Conclusions: Primiparous women have more than a 50% chance of requiring an episiotomy than those with more than one pregnancy. A primiparous patient is twice more likely to be referred for an obstetric complication during labor than a patient with one or more pregnancies. 10% of patients with a height ≤ 140 cm were referred for the possibility of obstetric complications during labor.
Citas
Instituto Nacional de Estadística. (2014, 26 febrero). Caracterización de la República de Guatemala. https://www.ine.gob.gt/sistema/uploads/2014/02/26/l5pnhmxzxy5ffwmk9nhcrk9x7e5qqvvy.pdf
World Health Organization. Care in normal birth: a practical guide. Technical Working Group, World Health Organization. Birth, 1997, June; 24(2): 121-123. https://doi.org/10.1111/j.1523-536X.1997.tb00352.x
Pfuntner, A., Wier, L.M., Stocks, C. Most Frequent Procedures Performed in U.S. Hospitals, 2011. Oct. 2013 In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb.; Statistical Brief #165. Bookshelf ID: NBK174682 https://www.ncbi.nlm.nih.gov/books/NBK174682/ https://pubmed.ncbi.nlm.nih.gov/24354027/
Martin, J.A., Hamilton, B.E., Osterman, M.J.K., Driscoll, A.K., Drake, P. Births: Final Data for 2016. Natl Vital Stat Rep. 2018 Jan; 67(1): 1-55.
https://pubmed.ncbi.nlm.nih.gov/29775434/
Boerma, T., Ronsmans, C., Melesse, D.Y., Barros, A.J.D., Barros, F.C., Juan, L., Moller, A.B., Say, L., Hosseinpoor, A.R., Yi, M., de Lyra Rabello Neto, D., Temmerman, M. Global epidemiology of use of and disparities in caesarean sections. Lancet. 2018, Oct. 13; 392(10155): 1341-1348. https://doi.org/10.1016/S0140-6736(18)31928-7
Carroli, G. C., & Mignini, L. M. Episiotomy for vaginal birth. Cochrane Database of Systematic Reviews – Review-Intervention. 2009, 21 enero. https://doi.org/10.1002/14651858.CD000081.pub2
Brunt, I. Normal Birth. Perm. J., 2005, Winter; 9(1): 96-98. https://doi.org/10.7812/TPP/04-125
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