Risk of selected postpartum infections after cesarean section compared with vaginal birth: A five‐year cohort study of 32,468 women

Leth, Rita Andersen; Frimodt‐Møller, Niels; Thomsen, Reimar Wernich; Uldbjerg, Niels; Nørgaard, Mette

doi:10.1080/00016340903147405

Cited by 127 publications

(98 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Caesarean birth is associated with increasing rates of severe maternal morbidity [16] , including sepsis, thromboembolic events, anaesthetic complications [17,18] and hospital readmission [19] , often associated with uterine infection, obstetrical surgical wound complications, and cardiopulmonary and thromboembolic conditions [20] . In particular, a large population-based study found a nearly five-fold increased risk of acquiring a postpartum infection (bloodstream infection, urinary tract infection, or wound infection) after caesarean section compared to vaginal birth [21] . Qualitative commentary further reports a range of negative physical health outcomes, including pain and reduced mobility, vaginal bleeding and urinary incontinence [22] .…”

Section: Physical Factors Associated With Perinatal Healthmentioning

confidence: 99%

The perinatal period: A literature review from the biopsychosocial perspective

Buultjens¹,

Murphy²,

Robinson³

et al. 2013

Clinical Nursing Studies

View full text Add to dashboard Cite

This review paper presents research findings relating to physical, biological, social and psychological factors as they influence maternal and child health across the perinatal period. Taking a public health perspective, the paper also identifies best opportunities for service development to improve population health. Important gaps in our research knowledge about optimal maternal and child health are identified. The review concludes by highlighting the area of social support as a highly recommended priority for service development within maternal and child health.

show abstract

Section: Physical Factors Associated With Perinatal Healthmentioning

confidence: 99%

The perinatal period: A literature review from the biopsychosocial perspective

Buultjens¹,

Murphy²,

Robinson³

et al. 2013

Clinical Nursing Studies

View full text Add to dashboard Cite

show abstract

“…9,10 Yet, morbidity associated with elective caesarean section is most likely higher than that associated with vaginal birth. Most evident is the short-term risk of postpartum infection, 11,12 haemorrhage, 13,14 and thromboembolic complications. 15 However, no differences in shortterm medical outcomes were found between Swedish primiparous women undergoing elective caesarean section and those undergoing vaginal delivery.…”

Section: Introductionmentioning

confidence: 99%

Maternal and infant outcome after caesarean section without recorded medical indication: findings from a Swedish case–control study

Karlström

Lindgren

Hildingsson

2013

BJOG

134

109

View full text Add to dashboard Cite

Objective To compare maternal complications and infant outcomes for women undergoing elective caesarean sections based on a maternal request and without recorded medical indication with those of women who underwent spontaneous onset of labour with the intention to have a vaginal birth.Design Retrospective register study.Setting Sweden; Medical Birth Register used for data collection.Methods A case-control study of 5877 birth records of women undergoing caesarean sections without medical indication and a control group of 13 774 women undergoing births through spontaneous onset of labour. The control group was further divided into women who actually had a vaginal birth and women who ended up with an emergency caesarean section.Results Maternal complications occurred more frequently among women undergoing caesarean section with odds ratios (OR) for bleeding complications of 2.5 (95% CI 2.1-3.0) in the elective caesarean group and 2.0 (95% CI 1.5-2.6) in the emergency caesarean group. The OR for infections was 2.6 in both groups. Breastfeeding complications were most common in women having an elective caesarean section: 6.8 (95% CI 3.2-14.5). Infant outcomes showed a higher incidence of respiratory distress with an OR of 2.7 (95% CI 1.8-3.9) in the elective caesarean section group compared with infants born by emergency caesarean section. The risk of hypoglycaemia was at least twice as high for infants in the caesarean group.Conclusions Caesarean sections without medical indication as well as emergency caesarean sections were associated with higher risks for maternal and infant morbidity.

show abstract

“…In contrast, a new population-based study from Denmark, involving over 32,000 women giving birth between 2001 and 2005, reported that women who gave birth by cesarean were nearly 5 times more likely than women who gave birth vaginally to experience a wound infection, urinary tract infection, or blood stream infection (Leth, Møller, Thomsen, Uldbjerg, & Nørgaard, 2009). Most of the difference was attributed to wound infection, which occurred in 5.6% of women having unscheduled cesareans in labor, 3.9% of women having scheduled cesareans, and only 0.08% of women giving birth vaginally.…”

Section: No Difference? the Case Of Cesarean Surgery And Postpartum Imentioning

confidence: 96%

“…Another reason behind the disconnect is that the Term Breech Trial (again, the ''highest quality'' evidence in the AHRQ review underpinning the NIH conference) only measured infections occurring prior to hospital discharge, a very common cutoff in both randomized controlled trials and in observational studies. The new Danish study provides striking evidence that this way of measuring infection is grossly inadequate-more than three quarters (77%) of infections occurred after hospital discharge (Leth et al, 2009). In other words, they would have been missed if the researchers had stopped counting the number of infections as soon as the woman left the hospital.…”

Section: No Difference? the Case Of Cesarean Surgery And Postpartum Imentioning

confidence: 99%

Deconstruction Junction: How to Separate the Good Evidence From the Bad (From the Ugly)

Romano¹

2009

j perinat educ

View full text Add to dashboard Cite

In this column, the author reprises recent selections from the Lamaze International research blog, Science & Sensibility. Each selection discusses a new study that demonstrates the need to look closely at research articles to avoid being misled. Examples include new research on the effectiveness of intrapartum antibiotics for preventing early onset Group B streptococcal disease in newborns, a recent study on the incidence of infection after cesarean surgery and vaginal birth, and a new study demonstrating long-term benefits of skin-to-skin contact between the mother and infant after birth.

show abstract

Risk of selected postpartum infections after cesarean section compared with vaginal birth: A five‐year cohort study of 32,468 women

Abstract: The risk of postpartum infection seems to be nearly five-fold increased after CS compared with vaginal birth. This may be of concern since the prevalence of CS is increasing.

Cited by 127 publications

References 20 publications

The perinatal period: A literature review from the biopsychosocial perspective

The perinatal period: A literature review from the biopsychosocial perspective

Maternal and infant outcome after caesarean section without recorded medical indication: findings from a Swedish case–control study

Deconstruction Junction: How to Separate the Good Evidence From the Bad (From the Ugly)

Contact Info

Product

Resources

About