Document Detail


A retrospective survey of patients with one previous caesarean section delivered at the Port Moresby General Hospital: a comparative study of those delivered vaginally and those delivered by repeat caesarean section.
MedLine Citation:
PMID:  10750409     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied 510 patients in a retrospective, nonrandomized, comparative survey of vaginal births and repeat caesarean section after one primary caesarean section at the Port Moresby General Hospital. 478 (94%) were allowed a trial of scar (TOS). The most common indications for elective caesarean section in the other 32 patients were cephalopelvic disproportion (CPD) 31%, contracted pelvis 19% and preeclampsia 12.5%. In 41% of patients TOS was terminated by emergency caesarean section. Logistic regression analysis showed that the following were significantly associated with repeat caesarean section after TOS: parity of one, no vaginal birth after the primary caesarean section, narrow obstetric conjugate, birthweight of 2500 g or greater, short stature, high level of the head at admission to the labour ward and region of origin.
Authors:
A B Amoa; C A Klufio; S Wat; G Kariwiga; A Mathias
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Papua and New Guinea medical journal     Volume:  40     ISSN:  0031-1480     ISO Abbreviation:  P N G Med J     Publication Date:    1997 Sep-Dec
Date Detail:
Created Date:  2000-04-25     Completed Date:  2000-04-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376417     Medline TA:  P N G Med J     Country:  PAPUA NEW GUINEA    
Other Details:
Languages:  eng     Pagination:  127-35     Citation Subset:  IM    
Affiliation:
Division of Obstetrics and Gynaecology, Port Moresby General Hospital, Papua New Guinea.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cesarean Section / statistics & numerical data
Data Collection
Delivery, Obstetric / methods,  statistics & numerical data*
Female
Hospitals, General
Humans
Incidence
Infant Mortality / trends*
Infant, Newborn
Logistic Models
New Guinea / epidemiology
Parity
Pregnancy
Reoperation
Retrospective Studies
Risk Factors
Time Factors
Vagina

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


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