O diagnóstico de gestação de alto risco interfere na via de parto?

Abstract

Introduction: The number of caesarean sections is increasing significantly especially when the woman fits the diagnosis of high-risk pregnancies. Objectives: To identify if the diagnosis of high-risck has relation with the mode of delivery pregnance and to quantify the prevalence of mode of delivery in high-risk pregnancies in a philanthropic institution of private law. Methods: Its a descriptive, retrospective and documentar study, developed with 292 women admitted from January 2011 to December 2011 and that their details registered in a book of the institution. The variables studied were hypertensive syndromes, abnormal amniotic fluid, abnormal fetal growth, abnormal placental insertion, premature rupture of membranes, abnormal glucose, twin pregnancy with discordant fetal growth and anti-Rh isoimmunization. The data were transferred to Excel for statistical analysis. Results: Most women had cesarean delivery (53.08%). The most prevalent diagnoses were related to Hypertensive Syndromes. Most of these women had cesarean. In cases of CIUR, the number of normal delivery was equal to cesarean (50%), severe CIUR now there was a greater number of cesarean section (57.14%). The oligohydramnios and polyhydramnios were also the same percentage of vaginal delivery and cesarean section (50%). In cases of DM II, most had Cesarean (75%). DMG now only 44.44% were caesarean. All women with complete placenta previa and cesarean evolved to only 16.67% of the previous marginal placentas had normal delivery. The pregnant women with premature rupture of membranes had mostly normal delivery (74.36%). Conclusions: The study showed that even though most women had cesarean birth, this surgery does not always occur because the diagnosis of the mother, but by other changes.