title: [Incidence of cesarean section in a regional general hospital].
abstract: BACKGROUND
  the high incidence of cesarean section is a world health problem, and Mexico is not the exception. The purpose of the clinical practice guidelines is to establish accurate directions on delivery by cesarean section, diminishing its unjustified practice. The Regional General Hospital and Medical Family Unit 2 of the Instituto Mexicano del Seguro Social in Zacapu, Michoacán has 70 % of cesarean section rate, it is the double of the country average. The aim was to know causes of cesarean section.
  
  
  METHODS
  a retrospective, non-probabilistic analysis of 127 patients attended along two months. The incidence of cesarean section and causes were recorded. A statical descriptive analysis was done.
  
  
  RESULTS
  ninety cesareans (70.9) % were performed in 127 patients; 44.4 % of these were performed in primiparous women. The most frequent reason was repeated cesarean in 27.8 %, cephalopelvic disproportion in 25.6 %, and fetal distress in 14.4 %.
  
  
  CONCLUSIONS
  the high incidence of cesarean section in primiparous women suggests a careful review of its indications, mainly the cephalopelvic disproportion diagnosis.
authors.affiliation: Servicio de Cirugía General, Hospital General de Zona con Unidad de Medicina Familiar 2, Zacapu, Instituto Mexicano del Seguro Social, Michoacán, Mexico. gabyestdoclic@yahoo.com.mx
authors.forename: Carmen Gabriela
authors.initials: CG
authors.lastname: Estrada-Aguilar
authors.forename: Rooselvet
authors.initials: R
authors.lastname: Hernández-Carranza
authors.forename: Carlos
authors.initials: C
authors.lastname: Gómez-Alonso
authors.forename: María de Lourdes
authors.initials: Mde L
authors.lastname: Negrete-Paz
mesh_terms: D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data*; D005260:Female; D006769:Hospitals, General; D006801:Humans; D008800:Mexico; D011247:Pregnancy; D012189:Retrospective Studies; D055815:Young Adult