Desenlaces en el parto después de dos cesáreas en una serie de casos.

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Bibliographic Details
Title:	Desenlaces en el parto después de dos cesáreas en una serie de casos.
Alternate Title:	Birth outcomes after two cesarean sections in a case series.
Authors:	Guzmán Guevara, Fátima María¹ dra.fatima@nacerhumano.com, Moreno Jiménez, José Roberto², López Pulgarín, José Arnulfo³
Source:	Ginecología y Obstetricia de México. oct2025, Vol. 93 Issue 10, p397-405. 9p.
Subjects:	CESAREAN section, DELIVERY (Obstetrics), RETROSPECTIVE studies, HEALTH counseling, SURGICAL complications, MATERNAL health, REPRODUCTIVE health, NEWBORN infants
Abstract (English):	OBJECTIVE: To describe the findings in mothers and their newborns in a series of 21 cases of delivery after two cesarean sections. MATERIALS AND METHODS: This observational, cross-sectional, retrospective study was conducted on pregnant patients at term with a history of two C-sections who were treated by the private medical group Nacer Humano in Guadalajara, Jalisco, between 2014 and 2022. All participants received adequate prenatal care, and during followup, it was verified that they met the necessary clinical conditions to safely attempt delivery. Absolute and relative frequencies were calculated for qualitative variables, and measures of central tendency and dispersion (mean and standard deviation) were estimated for quantitative variables. RESULTS: Twenty-one cases of vaginal delivery after two cesarean sections were included. The mothers' ages ranged from 24 to 40 years, with an average age of 33.2 years. The interval between the last C-section and delivery was 57.8 months. There were very low percentages of induction, conduction, epidural block, or forceps delivery. There were no cases of uterine rupture or dehiscence. Eight of the patients had a history of at least one previous delivery. CONCLUSIONS: Delivery was viable in patients with two previous C-sections. No uterine ruptures were observed. Adequately counseling patients is crucial to achieving successful deliveries in patients with a history of cesarean sections. Further prospective studies are undoubtedly needed, as this option could reduce the overall C-section rate and associated surgical morbidity. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	OBJETIVO: Describir los hallazgos en las madres y sus neonatos en una serie de 21 casos de parto después de dos cesáreas. MATERIALES Y MÉTODOS: Estudio observacional, transversal y retrospectivo efectuado en pacientes embarazadas, a término, con antecedente de dos cesáreas, atendidas por el grupo médico privado Nacer Humano de Guadalajara, Jalisco, entre los años 2014 y 2022. Todas las participantes recibieron atención prenatal adecuada y, durante el seguimiento, se verificó que cumplieran con las condiciones clínicas necesarias para intentar el parto de forma segura. Para las variables cualitativas se calcularon frecuencias absolutas y relativas; para las variables cuantitativas se estimaron medidas de tendencia central y dispersión (media y desviación estándar). RESULTADOS: Se incluyeron 21 casos de parto después de dos cesáreas. Los límites de edad de las madres fueron 24 y 40 años, con una media de 33.2 años. El intervalo transcurrido entre la última cesárea y el parto fue de 57.8 meses. Hubo porcentajes muy bajos de inductoconducción, bloqueo epidural o fórceps. No hubo casos de ruptura o dehiscencia uterina. En 8 de 21 pacientes había el antecedente de al menos un parto previo. CONCLUSIONES: En la muestra estudiada el parto fue viable en pacientes con dos cesáreas previas. No se observaron rupturas uterinas. El asesoramiento adecuado a las pacientes es decisivo para lograr el parto con antecedente de cesárea. Sin duda hacen falta más estudios prospectivos en virtud de que se trata de una opción que podría disminuir la tasa global de cesáreas y la morbilidad quirúrgica asociada. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	OBJECTIVE: To describe the findings in mothers and their newborns in a series of 21 cases of delivery after two cesarean sections. MATERIALS AND METHODS: This observational, cross-sectional, retrospective study was conducted on pregnant patients at term with a history of two C-sections who were treated by the private medical group Nacer Humano in Guadalajara, Jalisco, between 2014 and 2022. All participants received adequate prenatal care, and during followup, it was verified that they met the necessary clinical conditions to safely attempt delivery. Absolute and relative frequencies were calculated for qualitative variables, and measures of central tendency and dispersion (mean and standard deviation) were estimated for quantitative variables. RESULTS: Twenty-one cases of vaginal delivery after two cesarean sections were included. The mothers' ages ranged from 24 to 40 years, with an average age of 33.2 years. The interval between the last C-section and delivery was 57.8 months. There were very low percentages of induction, conduction, epidural block, or forceps delivery. There were no cases of uterine rupture or dehiscence. Eight of the patients had a history of at least one previous delivery. CONCLUSIONS: Delivery was viable in patients with two previous C-sections. No uterine ruptures were observed. Adequately counseling patients is crucial to achieving successful deliveries in patients with a history of cesarean sections. Further prospective studies are undoubtedly needed, as this option could reduce the overall C-section rate and associated surgical morbidity. [ABSTRACT FROM AUTHOR]
ISSN:	03009041
DOI:	10.24245/gom.v93i