Complications of cesarean deliveries: Rates and risk factors

Häger, Renate M.E; Daltveit, Anne Kjersti; Hofoss, Dag; Nilsen, Stein Tore; Kolaas, Toril; Øian, Pål; Henriksen, Tore

doi:10.1016/j.ajog.2003.08.037

Cited by 225 publications

(191 citation statements)

References 22 publications

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“…The complication rates were higher for the operations performed at 9 -10 cm cervical dilatation. General anesthesia, low gestational age, and fetal macrosomia were also identified as independent risk factors for complications 6 . Statistical analysis was done using SPSS software 11.7 version.…”

Section: Original Articlementioning

confidence: 99%

Prevalence and Outcome of Cesarean Section at Gandaki Medical College Teaching Hospital and Research Centre, Pokhara, Nepal

Gurung

Gurung²,

Shrestha

et al. 2017

J. Gandaki Med. Coll. Nepal

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Section: Original Articlementioning

confidence: 99%

Prevalence and Outcome of Cesarean Section at Gandaki Medical College Teaching Hospital and Research Centre, Pokhara, Nepal

Gurung

Gurung²,

Shrestha

et al. 2017

J. Gandaki Med. Coll. Nepal

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“…Também, como já relatado por outros autores, complicações no pós-parto se mostraram mais comuns entre as mulheres que tiveram parto cesáreo 6,7 e, entre estas, ocorreu maior prevalência de complicações nas cesarianas intraparto, em contraste com as eletivas 13 . Os resultados evidenciam, ainda, que mulheres cujo parto se deu no sistema público acumulam fatores de risco para complicações pós-cesárea e, por anteciparem piores condições de moradia e de suporte social após a alta hospitalar, sugerem um potencial incremento no impacto desses efeitos ao retornarem para casa com uma cicatriz cirúrgica 29 .…”

Section: Conclusõesunclassified

“…Diversos estudos apontam o risco de complicações pós-cesárea como bem maior do que aquele associado ao parto vaginal e citam taxas entre 16% e 27% 5,6 .…”

Section: Introductionunclassified

Desigualdades sociais nas complicações da cesariana: uma análise hierarquizada

Freitas

Savi

2011

Cad. Saúde Pública

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Com objetivo de investigar associações entre fatores socioeconômicos e complicações da cesariana, uma amostra de 604 puérperas cujos partos ocorreram em duas maternidades no Sul do Brasil foi entrevistada 24 horas pós-parto e na segunda semana do puerpério, por meio de entrevistas hospitalares e domicilio. Regressão de Cox foi aplicada ao modelo hierárquico dos fatores associados ao tipo de parto e às complicações no pós-parto. Complicações foram duas vezes mais frequentes após cesariana, independentemente das condições socioeconômicas. Contudo, a maneira como o parto cesáreo se associou ao risco de complicações mostrou-se mediada pelas circunstâncias socioeconômicas representadas pela categoria do pré-natal e parto, ter ou não o mesmo profissional no pré-natal e parto e ter sua cesariana decidida intraparto. Resultados do estudo evidenciam que complicações pós-cirúrgicas da cesariana têm impacto adverso, principalmente, entre aquelas mulheres vivendo em condições sociais e de saúde menos privilegiadas, as quais, após o parto, retornam para um ambiente de menor suporte, com uma cicatriz abdominal.

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“…With this high rate of Caesarean section, the cost of maternity care has also markedly increased [46]. Second, Caesarean sections that are performed for non-medical reasons, may have adverse side effects, such as: increased risk of stillbirth in the next pregnancy, reduced fertility, and allergy or asthma in the child [47][48][49][50][51][52].…”

Section: Discussionmentioning

confidence: 99%

The impact of the mass media on obstetricians’ behavior in Norway

2017

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Little is known about how physicians and hospitals respond to the risk of being negatively exposed in the mass media. We assume that newspapers will cover events more closely in the areas where they have most of their circulation. Within such areas the likelihood of negative publicity increases. The research question is whether obstetricians respond to negative newspaper coverage by choosing the least risky method of delivery, i.e. Caesarean section. This was tested on a large set of data from the Medical Birth Registry of Norway for the period 2000-2011. The Registry contains detailed medical information about all deliveries, for both the mother and the infant. This set of data was merged with a set of data that contained information about newspaper coverage for the municipalities in which all hospitals were located. Altogether, more than 620 000 deliveries in 46 municipalities were included in the study. The data were analyzed using a hospital 3 fixed effects regression. The main result was that newspaper coverage had a significant positive effect on the probability of having a Caesarean section. Several supplementary analyses supported the main finding. Altogether, our results indicate that obstetricians are sensitive to the risk of being exposed in the mass media. This is likely to be because obstetricians care about their reputation.

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Complications of cesarean deliveries: Rates and risk factors

Cited by 225 publications

References 22 publications

Prevalence and Outcome of Cesarean Section at Gandaki Medical College Teaching Hospital and Research Centre, Pokhara, Nepal

Prevalence and Outcome of Cesarean Section at Gandaki Medical College Teaching Hospital and Research Centre, Pokhara, Nepal

Desigualdades sociais nas complicações da cesariana: uma análise hierarquizada

The impact of the mass media on obstetricians’ behavior in Norway

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