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Severe postpartum morbidity and mode of delivery: a retrospective cohort study.

Sara S Farchi, Arianna A Polo, Francesco F Franco, Domenico D Di Lallo, and Gabriella G Guasticchi

Acta Obstet Gynecol Scand 89(12):1600-3 (2010) PMID 21050153

The aim of this population-based study was to estimate the risk of postpartum maternal complications associated with mode of delivery in a population of low-risk pregnancies. Data from 324,883 full-term singleton births between 2001 and 2007 were retrieved from birth and hospital discharge databases of the Lazio Region, Central Italy. Women with breech presentation births and those with chronic/pregnancy-related diseases in the mother/fetus were excluded. The association between mode of delivery and maternal outcome was estimated for women by odds ratios (ORs), adjusted for potential confounders. Of nulliparous women 78.6% intended vaginal delivery, while for multiparous this was 68.6%. Elective cesarean section was associated with a higher risk of hysterectomy, obstetric shock and anesthetic complications compared with women in the intended vaginal delivery group. This suggests there is a need for a program to reduce unnecessary elective cesarean sections.

DOI: 10.3109/00016349.2010.515298
Version: za2963e q8zae q8zbd q8zc4 q8zd3 q8zea q8zf8 q8zgd

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