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|Title:||Maternal and fetal mortality and complication s associated with cesarean section deliveries in teaching hospitals|
|Citation:||Journal of Obstetrics and Gynaecology Research (online), 2010; 36(1):45-51|
|Publisher:||Blackwell Publishing Asia|
|Virasakdi Chongsuvivatwong... Tran Son Thach... et al.|
|Abstract:||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.|
|Keywords:||Cesarean section; maternal complications; neonatal complications; neonatal mortality; vaginal delivery|
|Rights:||© 2010 The Authors. Journal compilation © 2010 Japan Society of Obstetrics and Gynecology|
|Appears in Collections:||Obstetrics and Gynaecology publications|
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