Document Detail


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
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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


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