Document Detail


Maternal request cesarean versus planned spontaneous vaginal delivery: maternal morbidity and short term outcomes.
MedLine Citation:
PMID:  17011394     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Since no randomized trial evaluates maternal morbidity from planned cesarean versus planned vaginal delivery, the issue must be addressed indirectly from retrospective cohort studies of vertex fetuses by actual or planned delivery route, and retrospective or randomized studies of breech fetuses by planned delivery route. The available data, although limited, suggest that term planned cesarean and planned vaginal delivery have similarly low rates of absolute and relative short-term maternal morbidity. Endometritis and cystitis are more frequent with cesarean, whereas hemorrhage is more frequent with planned vaginal delivery. Much of the morbidity of planned vaginal delivery is the morbidity of unplanned cesarean in labor and operative vaginal delivery, particularly forceps. Thus, the relative risk of short-term maternal morbidity of planned cesarean versus planned vaginal delivery will depend on the proportion of women in each group ultimately delivering in the planned manner and the frequency with which delivery occurs by an alternative unplanned method.
Authors:
Joseph R Wax
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in perinatology     Volume:  30     ISSN:  0146-0005     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-02     Completed Date:  2007-04-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  247-52     Citation Subset:  IM    
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Maine Medical Center, Portland, ME 04102, USA. waxj@mmc.org
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MeSH Terms
Descriptor/Qualifier:
Cesarean Section / adverse effects*
Cohort Studies
Female
Humans
Morbidity
Obstetric Labor Complications / etiology*
Odds Ratio
Parturition
Patient Participation*
Postoperative Complications*
Pregnancy
Retrospective Studies
Risk
Surgical Procedures, Elective / adverse effects

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


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