ABSTRACT
BACKGROUND: Caesarean section is necessary to save the lives of mothers and newborns at times, but it is important to perform it only when it is essential due to all the risks involved. This study aimed to examine the rate of caesarean sections performed at a tertiary hospital using the Robson classification to detect methods for the detection of and/or reduction in these caesarean section rates. METHODS: A descriptive, cross-sectional study of a retrospective database was carried out. RESULTS: A total of 10,317 births were assessed. The Robson classification was used to assess these interventions and verify whether the indication for performed caesarean sections was appropriate. In total, 2036 births by caesarean section were performed in the whole sample. The annual caesarean section rate varied between 18.67% and 21.18%. CONCLUSIONS: Caesarean sections increased by about 20% in 2021 compared to 2020 even though the trend over the years of study was decreasing. Vaginal delivery after caesarean section is a reasonable and safe option. Caesarean section rates could be improved, mostly in Robson's Group 2. The Robson classification facilitated progress in the implementation of measures aimed at improving care and adjusting caesarean section rates.
ABSTRACT
Se presenta el infrecuente caso de una mujer de 62 años con un tumor ovárico asociado a hirsutismo severo, hipertensión, insuficiencia renal e hiperparatiroidismo. Se observó elevación de los valores plasmáticos de testosterona y estradiol y supresión de los de gonadotropinas. La ecografía y la tomografía computarizada revelaron un gran tumor pélvico. Se planteó el diagnóstico diferencial con los carcinomas endometrioides sertoliformes, pero la expresión positiva de la inhibina apoyó el diagnóstico de tumor de células de Sertoli-Leydig. La evolución posquirúrgica fue favorable, con normalización de los valores de los esteroides sexuales y elevación de los de gonadotropinas al valor posmenopáusico normal
We present the rare case of a 62-year-old woman who developed an ovarian tumor associated with severe hirsutism, hypertension, renal insufficiency, and hyperparathyroidism. Hormone evaluation showed high plasma testosterone and estradiol values, with suppressed gonadotropins. Ultrasound examination and computed tomography revealed a large pelvic tumor. Differential diagnosis with a Sertoli-like endometrioid carcinoma of the ovary was contemplated, but inhibin-positive expression established the diagnosis of Sertoli-Leydig cell tumor. Postsurgical outcome was favorable, with normal plasma values of sexual steroids and an increase of gonadotropins to within the normal postmenopausal range
