The journal of obstetrics and gynaecology research · 2010
Maternal and fetal mortality and complications associated with cesarean section deliveries in teaching hospitals in Asia.
Сравнительное исследованиеСтатьяМногоцентровое исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chongsuvivatwong Virasakdi, Bachtiar Hafni, Chowdhury Mahbub Elahi, Fernando Sunil, Suwanrath Chitkasaem, Kor-Anantakul Ounjai, Tuan Le Anh, Lim Apiradee, Lumbiganon Pisake, Manandhar Bekha, Muchtar Masrul, Nahar Lutfan, Hieu Nguyen Trong, Fang Pan Xiao, Prasertcharoensuk Witoon, Radnaabarzar Erdenetungalag, Sibuea Daulat, Than Kyu Kyu, Tharnpaisan Piangjit, Thach Tran Son, Rowe Patrick
Аннотация
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.
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.