Document Detail

Previous cesarean section and the risk of postpartum maternal complications and adverse neonatal outcomes in future pregnancies.
MedLine Citation:
PMID:  19626026     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess maternal postpartum and neonatal outcomes associated with previous method of delivery. STUDY DESIGN: We analyzed prospectively collected maternal and neonatal data from July 2002 to December 2003. Data were collected from dedicated perinatal database and neonatal database from discharge and procedure codes. Groups were: (i) multiparous, prior vaginal delivery (VD), and (ii) multiparous, prior cesarean (CS). This group was subdivided by subsequent pregnancy trial or no trial of labor (No TOL). Results were compared with chi (2)-analysis; significance P<0.05. RESULTS: There were 17 406 births. Prior CS patients without trial of labor (TOL) required more blood transfusions, intensive care unit admissions and hospital readmissions than women with a prior VD. Prior CS patients with TOL required more aminoglycosides for postpartum infection. Term neonates of (CS) mothers without a TOL were more likely to have prolonged hospitalization and require ventilatory support. CONCLUSIONS: In their subsequent delivery, women with a prior CS delivery are at significant risks for postpartum maternal and neonatal morbidities compared with parous patients who experienced a prior VD.
A M Galyean; D C Lagrew; M C Bush; J T Kurtzman
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-07-23
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  29     ISSN:  1476-5543     ISO Abbreviation:  J Perinatol     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-28     Completed Date:  2010-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  726-30     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine University of California Irvine, Orange, CA, USA.
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MeSH Terms
Blood Transfusion / statistics & numerical data
Cesarean Section / statistics & numerical data*
Cesarean Section, Repeat / statistics & numerical data
Cross-Sectional Studies
Infant, Newborn
Infant, Newborn, Diseases / epidemiology*,  etiology*
Intensive Care Units / statistics & numerical data
Length of Stay / statistics & numerical data
Patient Admission / statistics & numerical data
Patient Readmission / statistics & numerical data
Postoperative Complications / epidemiology*,  etiology*
Pregnancy Complications / epidemiology*,  etiology*
Pregnancy Outcome*
Prospective Studies
Puerperal Disorders / epidemiology*,  etiology*
Puerperal Infection / epidemiology,  etiology
Retrospective Studies
Risk Assessment / statistics & numerical data
Thromboembolism / epidemiology,  etiology
Trial of Labor*
Vaginal Birth after Cesarean / statistics & numerical data*

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

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