Study Of The Increase In The Birth Rate By Surgical Interventions Of Ce

STUDY OF THE INCREASE IN THE BIRTH RATE BY SURGICAL INTERVENTIONS OF CE

At present, many women who are pregnant prefer childbirth through surgical intervention such as caesarean section, since this intervention is better and less suffering and pain, although many women do not know that when caesarean section is performed they are exposed to certain complications andrisks that can occur during this surgical process.

Question: What are the risks and complications that can occur during surgical intervention in a caesarean section and what actions should be used to reduce risks in caesarean sections?

1. Gestational risk index, labor and perinatal results.

Through this study carried out in a period of 5 years, 36 were analyzed.300 births, of which 4.325 ended in caesarean section, which determines an average cesarean rate, the results that the researchers obtained is that 14.6 % of the gestations were high risk which corresponds to a high cesarean rate and 26.6 % to 26.6 %A perinatal mortality, the main factors that increase caesarean section are podile presentation, twin or multiple pregnancy, gestational or pre -estational diabetes, pregnant with hypertension problems, small newborns for their age.

two. Hemorrhages during caesarean section: Risk Factors.

In the Hospital of Spain a retrospective study of a series of 628 pregnant women treated in the Gynecology Service was carried out, this hospital is responsible for attending obstetric pathology of both maternal and fetal, in addition a descriptive study of the demographic variables andObstetric, interventions and surgical complications that influence the increase in bleeding as a result of the surgical intervention of caesarean sections.

3. Cesarean intervened care plan with preeclampsia.

In this study, a care plan for patients with preeclampsia is carried out since it is one of the main risks that occur in a Cesarean intervention. 

Because preeclampsia is the most frequent form of arterial hypertension that relates to pregnancy which affects 7 or 10 % of pregnant women. Based on an immediate postoperative clinical case of an urgent cesárea intervened after being diagnosed with preeclampsia, they built a nursing care plan based on the functional patterns of Marjory Gordon and guided in the nanda-nanda taxonomy, in whichidentify 6 nursing diagnoses as a risk of infection, risk of bleeding, acute pain, anxiety, excess volume of liquids poor knowledge of the pathological process. The application of this care plan is based on improving care, thus allowing the prompt recovery of the patient providing the best nursing care and the best work organization. 

4. Adaptation of antibiotic prophylaxis in cesarean delivery

A study of prospective cohorts was conducted in which it evaluates the degree of adaptation of antibiotic prophylaxis in obstetric surgery of cesarean births, this evaluation took place at the Alcorcón Foundation University Hospital, where the patients included in the study are those that areI perform a caesarean section of different surgical procedures, where healthcare constitutes a complication in the surgical process, so that the births will be most frequently found is the infection of surgical wound (IHQ) that goes from 3 to 9%. 

In Spain, the prevalence of IHQ in Caesarean Surgical Interventions was 4.3%. The use of antibiotic prophylaxis is a preventive measure in surgical infections, it is also effective – effective and decreases the incidence of infections by 70%. 

In addition, the existence of antibiotic prophylaxis protocols in surgery and that are well defined in all aspects and the constant evaluation of these protocols to be able to take appropriate measures to reduce the incidence of IHQ. 

According to the review of the articles, one of the main factors that increase the risk of specifying a caesarean section is due to the podium presentation of the fetus, the age of the mother, hypertensive problems and multiple gestations and the complications that arise in an interventionSurgical are infections, hemorrhages, large babies, which these factors increase maternal mortality. Nursing interventions is that to reduce these risks and the one that has the most effectiveness is the use of functional patterns and Nanda taxonomy since these processes can be given better care and prevent the risks that can occur in a surgical interventionof caesarean section and also the proper use of protocols based on antibiotic prophylaxis in order to reduce surgical wound infections so that patients have a soon recovery and without risk.

BIBLIOGRAPHY:

• Martín-Martínez A & García-Hernández J A. Gestational risk index, labor and perinatal results. Prog Obstet Ginecol. May 1, 2016; 48 (5): 231-8.
• Fernández-Alonso Am, Vizcaíno A, Rodríguez-García I, Carretero P, Garrigosa L, Cruz M. Hemorrhage during caesarean section: Risk Factors. Clinic and investigate in Ginecol Obstet. May 1, 2016; 37 (3): 101-5.
• Sabbagh-Sequera M, Loidi-García JM, Romero-Vázquez GM. Cesarean intervened care plan with preeclampsia. Clinical sick. January 1, 2015; 25 (1): 33-9.
• Rodríguez-Caravaca G, Albi-González M, Rubio-Ciril. Adaptation of antibiotic prophylaxis in cesarean delivery. Gynecology Obstetrics Progress. March 2014; 57 (3): 121-5.