title: [Cesarean birth: justifying indication or justified concern?].
abstract: BACKGROUND
  Caesarean section is the most common surgery performed in all hospitals of second level of care in the health sector and more frequently in private hospitals in Mexico.
  
  
  OBJECTIVE
  To determine the behavior that caesarean section in different hospitals in the health sector in the city of Aguascalientes and analyze the indications during the same period.
  
  
  METHODS
  A descriptive and cross in the top four secondary hospitals in the health sector of the state of Aguascalientes, which together account for 81% of obstetric care in the state, from 1 September to 31 October 2008. Were analyzed: indication of cesarean section and their classification, previous pregnancies, marital status, gestational age, weight and minute Apgar newborn and given birth control during the event.
  
  
  RESULTS
  were recorded during the study period, 2.964 pregnancies after 29 weeks, of whom 1.195 were resolved by Caesarean section with an overall rate of 40.3%. We found 45 different indications, which undoubtedly reflect the great diversity of views on the institutional medical staff to schedule a cesarean section.
  
  
  CONCLUSIONS
  Although each institution has different resources and a population with different characteristics, treatment protocols should be developed by staff of each hospital to have the test as a cornerstone of labor, also request a second opinion before a caesarean section, all try to reduce the frequency of cesarean section.
authors.affiliation: Departamento de Ginecología y Obstetricia, Hospital General, ISSSTE. chicho420314@yahoo.com.mx
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Muñoz-Enciso
authors.forename: Enrique
authors.initials: E
authors.lastname: Rosales-Aujang
authors.forename: Guillermo
authors.initials: G
authors.lastname: Domínguez-Ponce
authors.forename: César Leopoldo
authors.initials: CL
authors.lastname: Serrano-Díaz
mesh_terms: D001724:Birth Weight; D052178:Cephalopelvic Disproportion / Q000453:epidemiology / Q000601:surgery; D002585:Cesarean Section / Q000706:statistics & numerical data; D017604:Cesarean Section, Repeat / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D005316:Fetal Distress / Q000453:epidemiology / Q000601:surgery; D005865:Gestational Age; D006779:Hospitals, Public / Q000706:statistics & numerical data*; D006786:Hospitals, Urban / Q000706:statistics & numerical data*; D006801:Humans; D008800:Mexico / Q000453:epidemiology; D007744:Obstetric Labor Complications / Q000453:epidemiology / Q000601:surgery; D016134:Organizational Policy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000601:surgery; D012017:Referral and Consultation; D012959:Socioeconomic Factors; D013246:Sterilization, Tubal / Q000706:statistics & numerical data; D019564:Unnecessary Procedures