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Maternal complications in settings where two-thirds of extremely preterm births are delivered by cesarean section.
- Source :
-
Journal of Perinatal Medicine . Jan2017, Vol. 45 Issue 1, p121-127. 7p. 4 Charts, 1 Graph. - Publication Year :
- 2017
-
Abstract
- Objective: To investigate the maternal complications associated with cesarean section (CS) in the extremely preterm period according to the gestational week (GW) and to indication of delivery. Study design: This is a retrospective case-referent study with a review of medical records of women who delivered at 22-27 weeks of gestation (n = 647) at two level III units in Sweden. For abdominal delivery, gestational length was stratified into 22-24 (n = 105) and 25-27 (n = 301) weeks. For comparison, data on women who underwent a CS at term were identified in a register-based database. Results: The rate of CS in extremely preterm births was 62.8%. There was no difference in the complication rates, but types of incisions other than the low transverse incision were required more often at 22-24 (18.1%) weeks than at 25-27 GWs (9.6%) (P = 0.02). Major maternal complications occurred in 6.6% compared with 2.1% in the extremely preterm and term CS, respectively (P < 0.01). A maternal indication of extremely preterm CS increased the risk of complications. Conclusions: Almost two-thirds of the births at 22-27 GWs had an abdominal delivery. No increase in shortterm morbidity was observed at 22-24 weeks compared to 25-27 weeks. CS performed extremely preterm had more major complications recorded than cesarean at term. The complications are driven by the underlying maternal condition. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CESAREAN section
*DATABASES
*DELIVERY (Obstetrics)
*GESTATIONAL age
*PREMATURE infants
*MEDICAL information storage & retrieval systems
*LONGITUDINAL method
*MATERNAL health services
*EVALUATION of medical care
*PREGNANCY
*PREGNANT women
*PROBABILITY theory
*SURGICAL complications
*VAGINA
*RETROSPECTIVE studies
*DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 03005577
- Volume :
- 45
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Journal of Perinatal Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 120714260
- Full Text :
- https://doi.org/10.1515/jpm-2016-0198