Document Detail

Maternal and infant outcome after caesarean section without recorded medical indication: findings from a Swedish case-control study.
MedLine Citation:
PMID:  23316937     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare maternal complications and infant outcomes for women undergoing elective caesarean sections based on a maternal request and without recorded medical indication with those of women who underwent spontaneous onset of labour with the intention to have a vaginal birth.
DESIGN: Retrospective register study.
SETTING: Sweden; Medical Birth Register used for data collection.
METHODS: A case-control study of 5877 birth records of women undergoing caesarean sections without medical indication and a control group of 13 774 women undergoing births through spontaneous onset of labour. The control group was further divided into women who actually had a vaginal birth and women who ended up with an emergency caesarean section.
RESULTS: Maternal complications occurred more frequently among women undergoing caesarean section with odds ratios (OR) for bleeding complications of 2.5 (95% CI 2.1-3.0) in the elective caesarean group and 2.0 (95% CI 1.5-2.6) in the emergency caesarean group. The OR for infections was 2.6 in both groups. Breastfeeding complications were most common in women having an elective caesarean section: 6.8 (95% CI 3.2-14.5). Infant outcomes showed a higher incidence of respiratory distress with an OR of 2.7 (95% CI 1.8-3.9) in the elective caesarean section group compared with infants born by emergency caesarean section. The risk of hypoglycaemia was at least twice as high for infants in the caesarean group.
CONCLUSIONS: Caesarean sections without medical indication as well as emergency caesarean sections were associated with higher risks for maternal and infant morbidity.
A Karlström; H Lindgren; I Hildingsson
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-01-15
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  120     ISSN:  1471-0528     ISO Abbreviation:  BJOG     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-12     Completed Date:  2013-04-04     Revised Date:  2014-04-28    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  479-86; discussion 486     Citation Subset:  AIM; IM    
Copyright Information:
© 2013 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2013 RCOG.
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MeSH Terms
Case-Control Studies
Cesarean Section / adverse effects,  mortality,  statistics & numerical data*
Emergency Treatment / mortality,  statistics & numerical data
Infant, Low Birth Weight
Infant, Newborn
Infant, Newborn, Diseases / epidemiology
Maternal Mortality
Obstetric Labor Complications / epidemiology*,  etiology
Postpartum Hemorrhage / epidemiology,  etiology
Pregnancy Outcome / epidemiology*
Risk Factors
Socioeconomic Factors
Surgical Procedures, Elective / statistics & numerical data*
Sweden / epidemiology
Young Adult
Comment In:
Birth. 2013 Jun;40(2):143-5   [PMID:  24635469 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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