Optimal timing of delivery among low-risk women with prior caesarean section: A secondary analysis of the WHO multicountry survey on maternal and newborn health
| Autor: | Eduardo Ortiz-Panozo, Naveen Shrestha, Rintaro Mori, Naho Morisaki, Nelly Zavaleta, Joshua Vogel, João Paulo Souza, Ricardo Perez-Cuevas, Khalid Yunis, Ganchimeg Togoobaatar, Erika Ota, Imbulana Jayaratne |
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| Rok vydání: | 2016 |
| Předmět: |
Pediatrics
Maternal Health medicine.medical_treatment lcsh:Medicine Global Health Labor and Delivery 0302 clinical medicine Pregnancy Risk Factors Infant Mortality Odds Ratio Medicine and Health Sciences Medicine Childbirth Public and Occupational Health 030212 general & internal medicine lcsh:Science reproductive and urinary physiology education.field_of_study 030219 obstetrics & reproductive medicine Multidisciplinary Obstetrics Pregnancy Outcome Obstetrics and Gynecology Gestational age MORTALIDADE Maternal Mortality Elective Surgical Procedures Female Live birth Research Article Adult medicine.medical_specialty Adolescent Population Gestational Age World Health Organization Young Adult 03 medical and health sciences Humans Infant Health Caesarean section education Poverty Cesarean Section business.industry lcsh:R Infant Newborn Infant Biology and Life Sciences Neonates Odds ratio Delivery Obstetric medicine.disease Infant mortality Health Care Pregnancy Complications Cross-Sectional Studies Birth Women's Health lcsh:Q Health Statistics Morbidity business Developmental Biology |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP PLoS ONE, Vol 11, Iss 2, p e0149091 (2016) PLoS ONE |
| Popis: | Objective To investigate optimal timing of elective repeat caesarean section among low-risk pregnant women with prior caesarean section in a multicountry sample from largely low- and middle-income countries. Design Secondary analysis of a cross-sectional study. Setting Twenty-nine countries from the World Health Organization Multicountry Survey on Maternal and Newborn Health. Population 29,647 women with prior caesarean section and no pregnancy complications in their current pregnancy who delivered a term singleton (live birth and stillbirth) at gestational age 37–41 weeks by pre-labour caesarean section, intra-partum caesarean section, or vaginal birth following spontaneous onset of labour. Methods We compared the rate of short-term adverse maternal and newborn outcomes following pre-labour caesarean section at a given gestational age, to those following ongoing pregnancies beyond that gestational age. Main Outcome Measures Severe maternal outcomes, neonatal morbidity, and intra-hospital early neonatal mortality. Results Odds of neonatal morbidity and intra-hospital early neonatal mortality were 0.48 (95% confidence interval [CI] 0.39–0.60) and 0.31 (95% CI 0.16–0.58) times lower for ongoing pregnancies compared to pre-labour caesarean section at 37 weeks. We did not find any significant change in the risk of severe maternal outcomes between pre-labour caesarean section at a given gestational age and ongoing pregnancies beyond that gestational age. Conclusions Elective repeat caesarean section at 37 weeks had higher risk of neonatal morbidity and mortality compared to ongoing pregnancy, however risks at later gestational ages did not differ between groups. |
| Databáze: | OpenAIRE |
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