Maternal and fetal mortality and complications associated with cesarean section deliveries in teaching hospitals in Asia
| Autor: | Apiradee Lim, Witoon Prasertcharoensuk, Piangjit Tharnpaisan, Daulat Sibuea, Mahbub Elahi Chowdhury, Le Anh Tuan, Nguyen Trong Hieu, Lutfan Nahar, Kyu Kyu Than, Chitkasaem Suwanrath, Virasakdi Chongsuvivatwong, Pisake Lumbiganon, Masrul Muchtar, Erdenetungalag Radnaabarzar, Bekha Manandhar, Sunil Fernando, Ounjai Kor-anantakul, Tran Son Thach, Hafni Bachtiar, P.J. Rowe, Pan Xiao Fang |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Asia Adolescent Population Young Adult Pregnancy Humans Medicine Childbirth Prospective Studies Young adult Hospitals Teaching Prospective cohort study education Perinatal Mortality Gynecology education.field_of_study Cesarean Section business.industry Vaginal delivery Obstetrics Infant Newborn Obstetrics and Gynecology Middle Aged medicine.disease Infant mortality Obstetric Labor Complications Maternal Mortality Fetal Mortality Female Endometritis business |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 36:45-51 |
| ISSN: | 1447-0756 1341-8076 |
| DOI: | 10.1111/j.1447-0756.2009.01100.x |
| Popis: | AIM: To compare the mortality morbidity of emergency and elective cesarean section with vaginal delivery among Asian teaching hospitals. METHODS: Hospital based prospective study at 12 centers of 9 countries. RESULTS: 12 591 vaginal deliveries 3062 elective and 4328 emergency cesarean section were followed up to 5 days postpartum. Maternal deaths (95% CI) per 1000 births among vaginal deliveries being 0.47 (0.17 1.03) was not significantly different from 0.31 (0.01 1.73) of elective cesarean section and both rates were significantly lower than 2.87 (1.53 4.91) per 1000 births of emergency section. The vaginal delivery group had significantly lower incidences of all major complication except significantly higher chance of secondary operations and non-significantly different risk for endometritis. Corresponding neonatal mortality per 1000 deliveries among the three groups were 7 (5.6 8.6) 2.2 (0.9 4.6) and 12.4 (9.3 16.2) (P < 0.001). Vaginal delivery also had higher rates of severe asphyxia and palsy than elective cesarean section. CONCLUSION: Maternal complications were increased by cesarean delivery but elective section may reduce neonatal complication. |
| Databáze: | OpenAIRE |
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