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Advisor(s)
Abstract(s)
Introdução: O parto por cesariana representa quase 1/3 dos partos realizados em Portugal. A evidência científica parece ser a favor de que o parto eutócico acarreta menos riscos quer para a saúde da mãe, quer do recém-nascido.
Objetivos: Pretende-se com este estudo aprofundar os conhecimentos sobre o parto por cesariana, quanto às suas indicações e consequências; avaliar a taxa de cesarianas no CHCB e as eventuais repercussões do parto por cesariana na mulher e no recém-nascido, bem como inferir propostas no sentido de melhoria clínica do parto por cesariana.
Metodologia: Este estudo transversal e descritivo tem como base a consulta dos processos clínicos das mulheres que realizaram parto por cesariana no ano de 2014 no CHCB, a par da consulta da literatura existente sobre este tema.
Resultados: Dos 559 partos realizados no CHCB no ano de 2014, 136 foram por cesariana, o que representa uma taxa de 24,3%, inferior à taxa nacional de cesarianas no mesmo período. As duas principais indicações para cesariana no nosso estudo foram Sofrimento Fetal Agudo e Apresentação Pélvica. As complicações maternas e neonatais decorrentes da cesariana foram raras.
Conclusão: O parto por cesariana é um procedimento seguro, tanto para a grávida como para o recém-nascido. São necessárias medidas para aperfeiçoar as indicações de cesariana, com vista a reduzir a taxa deste tipo de parto, para que as eventuais complicações não suplantem os benefícios deste procedimento destinado a diminuir a mortalidade e morbilidade maternas e neonatais em casos selecionados.
Introduction: Cesarean section represents almost 1/3 of all deliveries in Portugal. Scientific evidence appears to favor that eutocic delivery entails less health risks for both mother and newborn. Objective: The aim of this study was to improve our knowledge on cesarean section, regarding its indications and consequences; to evaluate the cesarean rate in CHCB and the possible impact of cesarean section on both mother and newborn, as well as to infer suggestions for clinical improvement of cesarean section. Methodology: This cross-sectional descriptive study is based on the collection of data from clinical records of all women that underwent cesarean section in 2014 in CHCB, together with a literature review on this subject. Results: From the 559 births that took place in 2014 in CHCB, 136 were by cesarean section, which represents a 24,3% rate, lower than the national cesarean rate in the same period. In our study, the two main cesarean section indications were Acute Fetal Distress and Pelvic Presentation. Maternal and neonatal complications were rare. Conclusion: Cesarean section has shown to be a safe procedure for both mother and newborn. Measures are required to improve cesarean section indications, in order to reduce the rate of this type of delivery, so that any complications do not outweigh the benefits of this procedure, created to reduce maternal and neonatal mortality and morbidity, in selected cases.
Introduction: Cesarean section represents almost 1/3 of all deliveries in Portugal. Scientific evidence appears to favor that eutocic delivery entails less health risks for both mother and newborn. Objective: The aim of this study was to improve our knowledge on cesarean section, regarding its indications and consequences; to evaluate the cesarean rate in CHCB and the possible impact of cesarean section on both mother and newborn, as well as to infer suggestions for clinical improvement of cesarean section. Methodology: This cross-sectional descriptive study is based on the collection of data from clinical records of all women that underwent cesarean section in 2014 in CHCB, together with a literature review on this subject. Results: From the 559 births that took place in 2014 in CHCB, 136 were by cesarean section, which represents a 24,3% rate, lower than the national cesarean rate in the same period. In our study, the two main cesarean section indications were Acute Fetal Distress and Pelvic Presentation. Maternal and neonatal complications were rare. Conclusion: Cesarean section has shown to be a safe procedure for both mother and newborn. Measures are required to improve cesarean section indications, in order to reduce the rate of this type of delivery, so that any complications do not outweigh the benefits of this procedure, created to reduce maternal and neonatal mortality and morbidity, in selected cases.
Description
Keywords
Apresentação Pélvica Cesariana Indicação Para Cesariana Parto Vaginal Sofrimento Fetal Agudo Taxa de Cesarianas