Increased postpartum maternal complications after cesarean section compared with vaginal delivery in 225 304 Taiwanese women.
In: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, Jg. 29 (2016), Heft 10, S. 1665-72
academicJournal
Zugriff:
Objective: To compare the short-term maternal postpartum complications associated with cesarean section (CS), vaginal delivery (VD), repeated CS and vaginal birth after cesarean section (VBAC) in a large national sample.
Methods: This was a population-based study of the Taiwan National Health Insurance Research Database (NHIRD). Outcomes include post-discharge (2 weeks) urinary tract infection (p-UTI), complications of obstetrical surgical wounds (p-wound) and postpartum hemorrhage (p-hemorrhage). A logistic regression model with generalized estimating equations were utilized, and adjustments were made for maternal and hospital characteristics.
Results: The incidence of p-UTI was 0.79%. CS was associated with a significantly higher risk of p-UTI compared with VD (odds ratio [OR] 1.14; 95% confidence interval [CI], 1.003-1.29). The incidence of p-wound was 4.07%. CS and repeated CS were associated with a higher risk of p-wound compared with VD (OR 1.68; 95% CI, 1.28-2.21 and OR 1.64; 95% CI, 1.22-2.20, respectively). Age, maternal diseases and hospital and obstetrician volumes were associated with patient outcomes.
Conclusions: Women with a delivery mode of CS have a higher risk of p-UTI and p-wound than women with VD. Maternal characteristics and hospital and obstetrician volumes may also influence postpartum outcomes.
Titel: |
Increased postpartum maternal complications after cesarean section compared with vaginal delivery in 225 304 Taiwanese women.
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Autor/in / Beteiligte Person: | Hung, HW ; Yang, PY ; Yan, YH ; Jou, HJ ; Lu, MC ; Wu, SC |
Zeitschrift: | The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, Jg. 29 (2016), Heft 10, S. 1665-72 |
Veröffentlichung: | London : Informa Healthcare ; <i>Original Publication</i>: Boca Raton : Parthenon Pub. Group, c2002-, 2016 |
Medientyp: | academicJournal |
ISSN: | 1476-4954 (electronic) |
DOI: | 10.3109/14767058.2015.1059806 |
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