title: [Reduction of the number of cesarean sections from 28% to 13%: does it reduce or increase perinatal maternal mortality: the great doubt?].
abstract: According to the new trends related to decrease the cesarean section rates, we conducted our retrospective investigation in order to investigate if the decrease of the cesarean section from 28 to 13%, affect the perinatal mortality (before labor and during labor) and maternal mortality. The years included in this paper were 1990 and 1995. We justified our investigation because some professional in health, believe that the decrease of the cesarean section produce an increase of the maternal and perinatal mortality. In 1990 and 1995 this were our obstetric activity respectively: 1954 and 1504 cesarean section, 4899 and 9176 vaginal deliveries, 6893 and 10730 alive newborns, 172 and 199 perinatal deaths, and finally 9 and 11 maternal deaths. The comparative statistical analysis is as following: for perinatal mortality CHi2 8.00, p 0.004 and OR 1.33 (1.09-1.66) and for maternal mortality Chi2 0.34, P 0.56 and OR 1.30 (0.50-3.36). The risk of perinatal deaths increased in 1990. In relation to the maternal deaths, the risk of mortality didn't increase in 1995.
authors.affiliation: Dpto. de Gineco Obstetricia del Antiguo Hospital Civil de Guadalajara.
authors.forename: A
authors.initials: A
authors.lastname: Guzmán Sánchez
authors.forename: A
authors.initials: A
authors.lastname: Martín de Alba
authors.forename: N
authors.initials: N
authors.lastname: Alfaro Alfaro
mesh_terms: D002585:Cesarean Section / Q000009:adverse effects; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008428:Maternal Mortality; D008800:Mexico / Q000453:epidemiology; D011247:Pregnancy; D012307:Risk Factors
vernacular_title: La reducción de cesáreas de 28 a 13% incrementa o no la mortalidad materna y perinatal; la gran duda?