title: [Caesarean section among seven public hospitals at Lima: trend analysis during 2001-2008 period].
abstract: OBJECTIVE
  To analyze the trend of the monthly "caesarean section rate" (CSR) at the DISA V Lima-Ciudad Hospitals during the period 2001 - 2008.
  
  
  METHODS
  Ecological study that aim to analyze the monthly reports of all DISA V Lima-Ciudad Hospitals that attends childbirths, and by analyzing the trend of theirs monthly caesarean section ratio or monthly CSR (TCM = total caesarean births in a month * 100/total number of newborns in the same month ) to determine their characteristic patterns.
  
  
  RESULTS
  Of the 7 hospitals studied, it was found that between 2001 and 2008, TCM average was 36.9% ± 9.1% (range: 16.5%-71.4%). From 2001 (33.5% ± 6.9%) to 2008 (39.7% ± 8.3%) years TCM increased 6.9% ± 7.0% on average, having registered a increase of 7.7% ± 6.4% at the year 2007 (43.5% ± 9.8%). Analyzing the TCM trend was found that most hospitals have a significant increase between 2004 and 2005 years. Analyzing the TCM trend was found that it tends to increase in April (37,9% ± 9,7%) and September (40.2% ± 8.9%), cycle that characterize most DISA V Lima-Ciudad Hospitals.
  
  
  CONCLUSIONS
  TCM of the DISA V Lima-Ciudad Hospitals length exceeds the limit recommended by WHO and, during the period 2001-2008, has had a significant trend to increase.
authors.affiliation: Grupo de Investigación Biomédica, Web Med Research, Lima, Perú. drantonioquispe@gmail.com
authors.forename: Antonio M
authors.initials: AM
authors.lastname: Quispe
authors.forename: Alvaro
authors.initials: A
authors.lastname: Santivañez-Pimentel
authors.forename: Imelda
authors.initials: I
authors.lastname: Leyton-Valencia
authors.forename: Denis
authors.initials: D
authors.lastname: Pomasunco
mesh_terms: D002585:Cesarean Section / Q000706:statistics & numerical data* / Q000639:trends*; D005260:Female; D006779:Hospitals, Public; D006801:Humans; D008137:Longitudinal Studies; D010568:Peru; D011247:Pregnancy; D012189:Retrospective Studies; D013997:Time Factors; D014504:Urban Health