These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Maternal and fetal mortality and complications associated with cesarean section deliveries in teaching hospitals in Asia.
    Author: Chongsuvivatwong V, Bachtiar H, Chowdhury ME, Fernando S, Suwanrath C, Kor-Anantakul O, Tuan le A, Lim A, Lumbiganon P, Manandhar B, Muchtar M, Nahar L, Hieu NT, Fang PX, Prasertcharoensuk W, Radnaabarzar E, Sibuea D, Than KK, Tharnpaisan P, Thach TS, Rowe P.
    Journal: J Obstet Gynaecol Res; 2010 Feb; 36(1):45-51. PubMed ID: 20178526.
    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.
    [Abstract] [Full Text] [Related] [New Search]