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Ginecología y obstetricia de México
Print version ISSN 0300-9041
Abstract
VAZQUEZ-RODRIGUEZ, Juan Gustavo et al. Maternal complications during cesarean section in patients with severe preeclampsia. Ginecol. obstet. Méx. [online]. 2021, vol.89, n.12, pp.956-962. Epub May 23, 2022. ISSN 0300-9041. https://doi.org/10.24245/gom.v89i12.6876.
OBJECTIVE:
To identify maternal complications during cesarean section in patients with severe preeclampsia.
MATERIALS AND METHODS:
Retrospective, cross-sectional, descriptive study carried out in pregnant patients with severe preeclampsia attended at the High Specialty Medical Unit of the Obstetrics and Gynecology Hospital 3 of the National Medical Center La Raza between September 1, 2020 and May 31, 2021. The following were recorded: indication for surgery (maternal or feto-placental), complications and their outcome, length of stay in the intensive care unit and hospitalization, and maternal death. Descriptive statistics were used with the statistical program SPSS v 20.
RESULTS:
100 patients were studied with mean age 30.5 ± 5.85 years (limits 17 and 43), median parity 2 (limits 1 and 6), weeks of pregnancy 33.08 ± 3.9 (limits 26 and 39.4), weight 77.98 ± 15.87 kg (limits 42 and 120), height 1.57 ± 0.07 m (limits 1.36 and 1.73) and BMI 31.46 ± 5.54 (limits 22.15 and 48.44). Ninety of them terminated the pregnancy by cesarean section indicated by: hypertensive crisis (81%), HELLP syndrome (17%), eclampsia (2%) and feto-placental in 10% (unreliable fetal status 5%, premature rupture of membranes 2%, anhydramnios 2%, growth restriction 1%). There were 12% complications (uterine atony (6%), uterine artery injury (2%), hysterorrhaphy commissure tear (1%), hysterorrhaphy hematoma (1%), broad ligament hematoma (1%) and layer bleeding (1%). All complications were corrected within the same surgical time. The mean time from hospitalization to termination of pregnancy was 6.26 ± 2.26 hours, intensive care stay 1.36 ± 0.69 days and maternal death 0%.
CONCLUSION:
The frequency of complications was low, perhaps because these patients underwent surgery in a high specialty hospital.
Keywords : Cesarean section; Pre-eclampsia; Eclampsia; Maternal death; Parity; Operative time; Uterine artery; Intensive care unit; Critical care.