Maternal deaths after elective cesarean section for breech presentation in the Netherlands
| Autor: | Joke M. Schutte, Eric A.P. Steegers, Job G. Santema, Nico W.E. Schuitemaker, Jos Van Roosmalen, null on behalf of the Maternal Mortality |
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| Přispěvatelé: | Obstetrics & Gynecology |
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Adult
medicine.medical_specialty Pediatrics DELIVERY breech delivery Pregnancy Breech presentation Sepsis Case fatality rate Epidemiology medicine Humans Breech Presentation LABOR TERM BREECH reproductive and urinary physiology Netherlands OUTCOMES cesarean section PLANNED VAGINAL BIRTH business.industry Obstetrics Vaginal delivery maternal mortality Obstetrics and Gynecology WOMEN General Medicine Perioperative medicine.disease female genital diseases and pregnancy complications Pulmonary embolism Placenta previa Elective Surgical Procedures Female TRIAL Pulmonary Embolism business PLACENTA PREVIA |
| Zdroj: | Acta Obstetricia et Gynecologica Scandinavica, 86(2), 240-243. Wiley Acta Obstetricia et Gynecologica Scandinavica, 86(2), 240-243. Wiley-Blackwell |
| ISSN: | 0001-6349 |
| Popis: | Background and methods. The cesarean section rate for term singleton breech babies in the Netherlands rose from 57 to 81% after the Term Breech Trial in 2000. The Dutch Maternal Mortality Committee registered and evaluated maternal mortality due to elective cesarean section for breech. Results. Four maternal deaths after elective cesarean section for breech presentation, from 2000 to 2002 inclusive, were registered, 7% of total direct maternal mortality in that period. Two women died due to massive pulmonary embolism, both were obese, and thromboprophylaxis was not adjusted to their weight. The other two women died from sepsis, one had not receive perioperative prophylactic antibiotics. The case fatality rate for elective cesarean section for breech presentation was 0.47/1,000 operations. No death after emergency cesarean section for breech presentation was registered at the committee. Conclusions. Elective cesarean section does not guarantee the improved outcome of the child, but may increase risks for the mother, compared to vaginal delivery. |
| Databáze: | OpenAIRE |
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