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Risk factors for re‐hospitalization following cesarean delivery at term.

Authors :
Bitan, Roy
Lior, Yotam
Ram, Hila Shalev
Berkovitz‐Shperling, Roza
Lavie, Anat
Yogev, Yariv
Ram, Shai
Source :
International Journal of Gynecology & Obstetrics. Nov2024, p1. 6p. 1 Illustration.
Publication Year :
2024

Abstract

Objective Methods Results Conclusions To identify the key risk factors contributing to re‐hospitalization after term cesarean delivery (CD).This retrospective cohort study included women who underwent CD at term at a university‐affiliated tertiary medical center (January 2021 to March 2023). The primary outcome was risk factors for re‐hospitalization within 30 days post‐discharge. Data on selected maternal demographic, pregnancy‐related and delivery variables were extracted from electronic medical records. A multivariable logistic regression analysis was conducted to identify independent risk factors for re‐hospitalization. Logistic regression analysis was used to determine the odds ratios (ORs) and 95% confidence intervals (CIs) for various independent risk factors.A total of 2878 women were included in the study, of whom 76 required re‐hospitalization (2.6%). The rates of high‐risk pregnancies were more prevalent among those who were re‐hospitalized (41 [62.1%] vs. 1148 [49.1%], P = 0.043). Furthermore, the rates of emergency CDs (42 [56%] vs. 1040 [37.8%], P = 0.001), prolonged surgery duration (17 [22.4%] vs. 292 [10.4%], P = 0.001) and hospitalization duration (14 (18.4%) vs. 273 (9.7%), P = 0.015) were significantly higher in the re‐hospitalized group. Emergency CD (OR 1.90, 95% CI 1.06–3.42, P = 0.030) and prolonged surgery duration (OR 2.44, 95% CI 1.25–4.77, P = 0.016) remained significant risk factors of re‐hospitalization in the multivariate analysis.The need for emergency CD and prolonged surgery duration were found as independent risk factors for re‐hospitalization after CD at term. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00207292
Database :
Academic Search Index
Journal :
International Journal of Gynecology & Obstetrics
Publication Type :
Academic Journal
Accession number :
180573176
Full Text :
https://doi.org/10.1002/ijgo.15997