<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412022000400006</article-id>
<article-id pub-id-type="doi">10.24245/gom.v90i4.7281</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Menor opción de parto en cesáreas repetidas: estudio de caracterización]]></article-title>
<article-title xml:lang="en"><![CDATA[Minor option for vaginal delivery in repeat cesarean sections: characterization study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza-Vilcahuaman]]></surname>
<given-names><![CDATA[Jenny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villca-Vargas]]></surname>
<given-names><![CDATA[Rober Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-Parejas]]></surname>
<given-names><![CDATA[Pamela Estefani]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz-De La Torre]]></surname>
<given-names><![CDATA[Rossibel Juana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas-Pineda]]></surname>
<given-names><![CDATA[Lina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra-Olivares]]></surname>
<given-names><![CDATA[Tula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Huancavelica  ]]></institution>
<addr-line><![CDATA[Huancayo ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional Docente de Medicina Tropical Julio César Demarini Caro  ]]></institution>
<addr-line><![CDATA[Chanchamayo ]]></addr-line>
<country>Perú</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>90</volume>
<numero>4</numero>
<fpage>342</fpage>
<lpage>347</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412022000400006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412022000400006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412022000400006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO:  Describir las características de las pacientes con cesárea por indicación de cesárea anterior.  MATERIALES Y METODOS:  Estudio cuantitativo, descriptivo, observacional y retrospectivo llevado a cabo en el Hospital Regional de Medicina Tropical Julio César Demarini Caro, Chanchamayo, Junín, Perú, entre enero de 2020 y junio de 2021. La información se recopiló de las historias clínicas completas y legibles de los sujetos de investigación y se reunió en una base de datos de Excel y se procesó en el programa SPSS versión 25. Se aplicaron estadística descriptiva, medidas de tendencia central y de frecuencias simples.  RESULTADOS:  La muestra estudiada fue de 200 mujeres que finalizaron el último embarazo por cesárea; la indicación fue, precisamente, cesárea previa. El 40% no tuvo otra indicación secundaria para la cesárea y 19% tuvo como indicación adicional el sufrimiento fetal agudo. Características obstétricas: multíparas (83.5%), con periodo intergenésico adecuado (62.5%), con atención prenatal adecuada (69%), y con pelvis ginecoide (84.5%). Complicaciones de las madres: anemia moderada y severa (64.5%), rotura uterina (10.5%) y atonía uterina (5%). Complicaciones perinatales: Apgar menor a 7 (15%), asfixia neonatal (11%) y síndrome de insuficiencia respiratoria (9%).  CONCLUSIONES:  Las indicaciones de las cesáreas previas fueron: sufrimiento fetal agudo, desproporción cefalopélvica, trastornos funiculares, trastornos hipertensivos, oligohidramnios severo y distocias de presentación. Las principales complicaciones materno-perinatales fueron: anemia moderada y severa, rotura uterina, atonía uterina, Apgar del recién nacido menor o igual a 7, asfixia neonatal, síndrome de insuficiencia respiratoria y recién nacido prematuro.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE:  To determine the main characteristics of patients with previous cesarean section.  MATERIALS AND METHODS:  Quantitative, descriptive, observational and retrospective study carried out at the Regional Hospital of Tropical Medicine Julio César Demarini Caro, Chanchamayo, Junín, Peru, between January 2020 and June 2021. The information was collected from the complete and legible medical records of the research subjects and was collected in an Excel database and processed in SPSS version 25. Descriptive statistics, measures of central tendency and simple frequencies were applied.  RESULTS:  The sample studied consisted of 200 women whose last gestation was terminated by cesarean section; the indication was, precisely, previous cesarean section. Forty percent had no other secondary indication for cesarean section and 19% had acute fetal distress as an additional indication. Obstetric characteristics: multiparous (83.5%), with adequate inter-gestational period (62.5%), with adequate prenatal care (69%), and with gynecoid pelvis (84.5%). Maternal complications: moderate and severe anemia (64.5%), uterine rupture (10.5%) and uterine atony (5%). Perinatal complications: Apgar less than 7 (15%), neonatal asphyxia (11%) and respiratory failure syndrome (9%).  CONCLUSIONS: Indications for previous cesarean sections were acute fetal distress, cephalopelvic disproportion, funicular disorders, hypertensive disorders, severe oligohydramnios and presentation dystocias. The main maternal and perinatal complications were moderate and severe anemia, uterine rupture, uterine atony, newborn Apgar less than 7, neonatal asphyxia, respiratory distress syndrome and premature newborn.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cesárea previa]]></kwd>
<kwd lng="es"><![CDATA[cesárea de repetición]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="es"><![CDATA[características]]></kwd>
<kwd lng="es"><![CDATA[Perú]]></kwd>
<kwd lng="en"><![CDATA[Previous cesarean section]]></kwd>
<kwd lng="en"><![CDATA[Repeat cesarean section]]></kwd>
<kwd lng="en"><![CDATA[Uterine rupture]]></kwd>
<kwd lng="en"><![CDATA[Peru]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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