Resumen

PILOTO PADRON, Mercedes  y  NAPOLES MENDEZ, Danilo. Consideracions on primitive cesarean rate. Rev Cubana Obstet Ginecol [online]. 2014, vol.40, n.1, pp.35-47. ISSN 0138-600X.

Introduction: the increasing cesarean indicator is a global problem due to the high increase in maternal morbidity and mortality.Objective: to show the incidence of operation caesarean section in our country in the period from 1970 to 2011, as well as a brief analysis of their main indications. Methods: a descriptive, retrospective and longitudinal study to show the incidence of cesarean section in Cuba was performed, covering each province from 1970 to 2011. Results: a sustained increase in caesarean section in Cuba was evident to all regions of about 1% per year in recent years. The increase in the cesarean rate was more pronounced in 2002-2010 and 4 provinces showed the highest indicators. In the last two years (2010-2011), the indicator reached its highest values, 30.6 and 30.4%, respectively. Conclusions: the evolution of caesarean Cuba showed a steady increase and it is a matter of concern that requires analysis and decision making allowing good control, based on the scientific study at each institution, so as to ensure further suitable indicators of both maternal and perinatal morbidity and mortality.

Palabras clave : cesarean delivery; perinatal morbidity; caesarean indicator.

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