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Scheduled cesarean delivery: maternal and neonatal risks in primiparous women in a community hospital setting
- Source :
- American journal of perinatology. 26(4)
- Publication Year :
- 2008
-
Abstract
- We compared the short-term maternal and neonatal outcomes of women who deliver by cesarean without labor compared with women who deliver by cesarean after labor or by vaginal birth. This was a retrospective cohort study of women delivering a first baby from 1998 to 2002. Hospital discharge diagnostic coding identified unlabored cesarean deliveries (UCDs), labored cesarean deliveries (LCDs), and vaginal births (VBs). Medical records were abstracted and mode of delivery confirmed. The three outcomes of interest were maternal bleeding complications, maternal febrile morbidity, and neonatal respiratory complications. Using logistic regression for each outcome, we investigated whether mode of delivery was associated with the outcome, independent of other factors. The study groups included 513 UCDs, 261 LCDs, and 251 VBs. Compared with the UCD group, the adjusted odds of bleeding complications was higher in the LCD comparison group (odds ratio [OR] 2.3; 95% confidence interval [CI] 1.21, 4.53) and the VB comparison group (OR 1.96; 95% CI 0.95, 4.02). The incidence of febrile morbidity was similar for both cesarean groups but lower in the VB group. Both comparison groups had lower odds of neonatal complications than the UCD group (OR for LCD comparison group 0.52; 95% CI 0.27, 0.95 and OR for VB comparison group 0.26; 95% CI 0.098, 0.59). Scheduled cesarean is associated with increased odds of neonatal respiratory complications but decreased odds of maternal bleeding complications.
- Subjects :
- Adult
medicine.medical_specialty
medicine.medical_treatment
Gestational Age
Hospitals, Community
Infant, Newborn, Diseases
Article
Cohort Studies
Young Adult
Pregnancy
Birth Injuries
Infant Mortality
medicine
Confidence Intervals
Odds Ratio
Humans
Caesarean section
Maternal Welfare
Probability
Retrospective Studies
Obstetrics
business.industry
Cesarean Section
Postpartum Hemorrhage
Infant, Newborn
Obstetrics and Gynecology
Gestational age
Retrospective cohort study
Odds ratio
medicine.disease
Delivery, Obstetric
Vaginal Birth after Cesarean
Community hospital
Obstetric labor complication
Obstetric Labor Complications
Parity
Logistic Models
Maternal Mortality
Elective Surgical Procedures
Pediatrics, Perinatology and Child Health
Female
business
Cohort study
Subjects
Details
- ISSN :
- 10988785
- Volume :
- 26
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- American journal of perinatology
- Accession number :
- edsair.doi.dedup.....9568e93bda02ac35ef3bf3bbea564643