Journal
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
Volume 27, Issue 5, Pages 463-474Publisher
TAYLOR & FRANCIS LTD
DOI: 10.3109/14767058.2013.818970
Keywords
Cesarean delivery; maternal fetal morbidity; mortality
Categories
Ask authors/readers for more resources
Objective: Since 1997, the Maternal-Fetal Medicine Units (MFMU) have published 39 articles involving over 70 000 cesarean deliveries (CD), including primary, elective repeat (ERCD) or trial of labor after cesarean (TOLAC). The purpose of this review article is to summarize the peripartum morbidity or mortality (M/M) with CD (primary or ERCD) or TOLAC. Methods: For 12 clinical scenarios and 17 M/M, we summarized 135 rates and, whenever feasible, calculated odds ratio (OR) with 95% confidence intervals (CI). Results: Of the 58 comparable scenarios, the M/M differed significantly in 48% (28). At term, the rate of blood transfusion was significantly greater in TOLAC (2%) versus ERC (1%; OR, 1.71; 95% CI, 1.41-2.08) but not in the likelihood of a hysterectomy or operative injury. The rate of neonatal seizure and perinatal mortality was similar between TOLAC and ERCD. Conclusions: Our analysis provides an overview of peripartum M/M with CD; it allows clinicians to counsel women who had or are having CD. It also permits study design, with an appropriate sample size, with the aim to minimize the morbidities.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available