| Maternal outcomes associated with planned vaginal versus planned primary cesarean delivery. | |
| | |
MedLine Citation:
|
PMID: 20235001 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We compared maternal morbidity between planned vaginal and planned cesarean delivery. A university hospital's database was queried for delivery outcomes. Between 1995 and 2005, 26,356 deliveries occurred. Subjects were divided into two groups: planned vaginal and planned cesarean delivery. This was based on intent to deliver vaginally or by cesarean, despite actual route of delivery. Planned vaginal delivery included successful vaginal delivery and labored cesarean delivery intended for vaginal delivery. Planned cesarean delivery included unlabored and labored cesarean delivery and vaginal delivery intended for cesarean. Chart abstraction confirmed the delivery plan. Primary outcomes were chorioamnionitis, postpartum hemorrhage, and transfusion. Secondary outcomes were also measured. A subanalysis compared actual vaginal delivery, labored cesarean delivery, and unlabored cesarean delivery. There were 3868 planned vaginal deliveries and 180 planned cesarean deliveries. Planned cesarean delivery had less chorioamnionitis (2.2% versus 17.2%), postpartum hemorrhage (1.1% versus 6.0%), uterine atony (0.6% versus 6.4%), and prolonged rupture of membranes (2.2% versus 17.5%) but a longer hospital stay (3.2 versus 2.6 days). There were no differences in transfusion rates. For healthy primiparous women, planned cesarean delivery decreases certain morbidities. Labored cesarean delivery had increased risks compared with both vaginal delivery and unlabored cesarean delivery. |
| | |
Authors:
|
Elizabeth J Geller; Jennifer M Wu; Mary L Jannelli; Thao V Nguyen; Anthony G Visco |
Publication Detail:
|
Type: Journal Article Date: 2010-03-16 |
Journal Detail:
|
Title: American journal of perinatology Volume: 27 ISSN: 1098-8785 ISO Abbreviation: Am J Perinatol Publication Date: 2010 Oct |
Date Detail:
|
Created Date: 2010-09-20 Completed Date: 2010-12-20 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: United States |
Other Details:
|
Languages: eng Pagination: 675-83 Citation Subset: IM |
Copyright Information:
|
© Thieme Medical Publishers. |
Affiliation:
|
University of North Carolina at Chapel Hill, Department of Obstetrics and Gynecology, CB #7570, Chapel Hill, NC 27599-7570, USA. egeller@med.unc.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Blood Transfusion Cesarean Section* / adverse effects, mortality, statistics & numerical data Chorioamnionitis / epidemiology Epidemiologic Factors Female Fetal Membranes, Premature Rupture / epidemiology Humans Logistic Models Natural Childbirth* / adverse effects, mortality, statistics & numerical data Obstetric Labor Complications* / epidemiology Patient Care Planning* / organization & administration, statistics & numerical data Postpartum Hemorrhage / epidemiology Pregnancy Pregnancy Outcome Retrospective Studies Uterine Inertia / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Mixoploidy: perinatal diagnosis and pregnancy outcome.
Next Document: [Achilles tendon power Doppler sonography in 953 long distance runners - a cross sectional study].