Caracterização das cesarianas no centro obstétricos da Maternidade Escola da Universidade Federal do Rio de Janeiro

Abstract

Objectives: To analyze cesarean section procedures and their outcomes in postpartum women and newborns after the procedure in a Maternity School in Rio de Janeiro. Methodology: it is a descriptive study, with documentary, sectional research and a quantitative approach. Data collection was carried out using information on an indicator platform made available virtually and in the surgical procedures record book of the institution's obstetric center, from January 2021 to December 2021. A total of 1576 births were recorded in the period studied, where of this total, only 855 births met the inclusion criteria, being entered and processed in a spreadsheet in the Microsoft Excel software, according to the research objective, for subsequent analysis. Statistical analysis of the data occurred using SPSS statistical software version 18, with graphs and tables being created to present the data. Results: In the data analyzed, the main findings were: the predominance of women with an average of 30 years, mixed race (48%), accompanied (84.3%), multiparous (61.17%), with prenatal care (98 .1%), without carrying out non-pharmacological methods for pain relief (89.7%), with emphasis on iterative activity (22.1%) for cesarean section indications. The majority of newborns were male (54%), weight greater than 2500g (80%), apgar score >7 (99.1%) in the fifth minute of life, timely clamping (52.8%), no contact skin to skin (90.3%) and breastfeeding (76.0%). Conclusion: the study reinforces the exorbitant increase in the number of cesarean sections in relation to vaginal births, pointing out that in most cases the indications for iterative/previous cesarean section prevailed, with different outcomes for the newborn and the postpartum woman, especially with regard to implementation of assistance to the dyad in the golden hour.