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  • Title: Severe postpartum morbidity and mode of delivery: a retrospective cohort study.
    Author: Farchi S, Polo A, Franco F, Di Lallo D, Guasticchi G.
    Journal: Acta Obstet Gynecol Scand; 2010 Dec; 89(12):1600-3. PubMed ID: 21050153.
    Abstract:
    The aim of this population-based study was to estimate the risk of postpartum maternal complications associated with mode of delivery in a population of low-risk pregnancies. Data from 324,883 full-term singleton births between 2001 and 2007 were retrieved from birth and hospital discharge databases of the Lazio Region, Central Italy. Women with breech presentation births and those with chronic/pregnancy-related diseases in the mother/fetus were excluded. The association between mode of delivery and maternal outcome was estimated for women by odds ratios (ORs), adjusted for potential confounders. Of nulliparous women 78.6% intended vaginal delivery, while for multiparous this was 68.6%. Elective cesarean section was associated with a higher risk of hysterectomy, obstetric shock and anesthetic complications compared with women in the intended vaginal delivery group. This suggests there is a need for a program to reduce unnecessary elective cesarean sections.
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