Maternal consequences of caesarean section. A retrospective study of intra-operative and postoperative maternal complications of caesarean section during a 10-year period

Ham, Maaike A.P.C. van; Dongen, P.W.J. van; Mulder, Jef J. S.

doi:10.1016/s0301-2115(97)02725-5

Cited by 221 publications

(147 citation statements)

References 8 publications

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“…With the study by van Ham et al, (1997) indicating that 36% of CSD women have complications and could require physiotherapy treatment, the low mean number of patients (mean=5) being treated by the participants demon strates a low level of referral from obstetricians. There is evidence that physiotherapy can successfully treat post partum problems post CSD such as pelvic floor dysfunction and lower back pain (Britnell et al, 2005), and that in hospital prophylactic treatment should also be rendered.…”

Section: Discussionmentioning

confidence: 96%

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Physiotherapy management strategies for woman post-ceasarean section delivery in public hospitals in KwaZulu-Natal, South Africa

Reddy

Frantz

2013

South African Journal of Physiotherapy

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Section: Discussionmentioning

confidence: 96%

“…The rate of complications following CSDs has been reported at 36%, regard less of the type of CSD (van Ham et al, 1997). Complications include: sepsis, thromboembolic problems, anaesthetic complications (Koroukian, 2004), an increased rate of maternal morbidity (Kuklina et al, 2009) and pneumonia (Belfort et al, 2010).…”

mentioning

confidence: 99%

Physiotherapy management strategies for woman post-ceasarean section delivery in public hospitals in KwaZulu-Natal, South Africa

Reddy

Frantz

2013

South African Journal of Physiotherapy

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“…[13] Haynes et al [4] reported inpatient complication rates following surgery of 11% before and 7% after intervention, which translates into a 36% overall reduction. A review investigating complication rates after CD over a 10-year period in The Netherlands [14] reported a complication rate of 50.5%, which was adjusted when all the minor postoperative complications were removed. This gave an incident rate of 512 events among 2 647 CDs, which equated to a complication rate of 19.3%, slightly higher than the WHO estimate of 3 -16%.…”

Section: Methodsmentioning

confidence: 99%

The impact of a modified World Health Organization surgical safety checklist on maternal outcomes in a South African setting: A stratified cluster-randomised controlled trial

et al. 2017

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Corresponding author: M Naidoo (naidoom@ukzn.ac.za)Background. In South Africa (SA), the Saving Mothers Reports have shown an alarming increase in deaths during or after caesarean delivery. Objective. To improve maternal surgical safety in KwaZulu-Natal Province, SA, by implementing the modified World Health Organization surgical safety checklist for maternity care (MSSCL) in maternity operating theatres. Methods. The study was a stratified cluster-randomised controlled trial conducted from March to November 2013. Study sites were 18 hospitals offering maternal surgical services in the public health sector. Patients requiring maternal surgical intervention at the study sites were included. Pre-intervention surgical outcomes were assessed. Training of healthcare personnel took place over 1 month, after which the MSSCL was implemented. Post-intervention surgical outcomes were assessed and compared with the pre-intervention findings and the control arm. The main outcome measure was the mean incidence rate ratios (IRRs) of adverse incidents associated with surgery. Results. Significant improvements in the adverse incident rate per 1 000 procedures occurred with combined outcomes (IRR 0.805, 95% confidence interval (CI) 0.706 -0.917), postoperative sepsis (IRR 0.619, 95% CI 0.451 -0.849), referral to higher levels of care (IRR 1.409, 95% CI 1.066 -1.862) and unscheduled return to the operating theatre (IRR 0.719, 95% CI 0.574 -0.899) in the intervention arm. Subgroup analysis based on the quality of implementation demonstrated greater reductions in maternal mortality in hospitals that were good implementers of the MSSCL. Conclusions. Incorporation of the MSSCL into routine surgical practice has now been recommended for all public sector hospitals in SA, and emphasis should be placed on improving the quality of implementation.

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“…Hemorragia, infecção de parede e hematoma, infecção urinária, endometrite e febre puerperal têm sido descritos como complicações pós-cesárea por diferentes estudos 9,10,11 , ainda que mais frequentes nas cesarianas intraparto, comparadas àquelas decididas eletivamente 12 .…”

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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Maternal consequences of caesarean section. A retrospective study of intra-operative and postoperative maternal complications of caesarean section during a 10-year period

Cited by 221 publications

References 8 publications

Physiotherapy management strategies for woman post-ceasarean section delivery in public hospitals in KwaZulu-Natal, South Africa

Physiotherapy management strategies for woman post-ceasarean section delivery in public hospitals in KwaZulu-Natal, South Africa

The impact of a modified World Health Organization surgical safety checklist on maternal outcomes in a South African setting: A stratified cluster-randomised controlled trial

Desigualdades sociais nas complicações da cesariana: uma análise hierarquizada

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