Cárdenas Rosario
Departamento de Atención a la Salud, Universidad Autónoma Metropolitana, Unidad Xochimilco, Calzada del Hueso 1100, Col. Villa Quietud, 04960 México, D. F.
Gac Med Mex. 2002 Jul-Aug;138(4):357-66.
Undoubtedly, cesarean section is one of the most important surgical procedures for solving obstetrical problems. However, the steady increase in its use might be reflecting a non-medically justified utilization. This work reviews the main complications associated to cesarean section and their effect on the health of mothers and their children. An additional objective is to highlight the importance of establishing clinical protocols aimed at identifying those cases in which a cesarean section should be practiced. The implementation of these guidelines might help to reduce the effect that factors such as preferences of medical personnel or women's demand exert upon the increase of cesarean section use.
毫无疑问,剖宫产是解决产科问题最重要的外科手术之一。然而,其使用量的持续增加可能反映了一种非医学上合理的利用情况。这项工作回顾了与剖宫产相关的主要并发症及其对母亲和孩子健康的影响。另一个目标是强调制定临床方案以识别那些应该进行剖宫产的病例的重要性。实施这些指导方针可能有助于减少诸如医务人员的偏好或女性需求等因素对剖宫产使用增加所产生的影响。