Source:http://linkedlifedata.com/resource/pubmed/id/16088198
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
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| pubmed:dateCreated |
2005-10-31
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| pubmed:abstractText |
The strongest argument against caesarean delivery relates to maternal complications. Evidence supporting this for elective operations is controversial. The perinatal database 1998-2001 of the German state of Baden-Württemberg was studied to assess the maternal obstetrical risk associated with caesarean delivery with regard to puerperal infectious complications. For statistical analysis the chi2 test, Fisher's exact test, Mantel-Haenszel statistics and relative risks were used to describe the risk of exposure. Surgical delivery was associated with a significantly higher risk of infectious disorders (p < 0.0001). There was a significantly higher risk of septicaemia in the group undergoing caesarean compared to vaginal delivery (p < 0.0001), for pregnancies with and without risk factors of infection, and also for caesarean delivery prior to labour and rupture of membranes (ROM) and singleton gestations (RR 8.56; 95% CI 4.4-16.65, stratum without risks). The rate of wound disorders was found to be significantly increased in the case of surgical delivery (p < 0.0001). After exclusion of pregnancies with risk factors for infectious complications and multi-fetal gestation, a significantly higher risk was also found for caesarean delivery prior to labour and ROM versus vaginal delivery (RR 16.97; 95% CI 14.16-20.34). Caesarean delivery significantly increased the likelihood that a woman would experience fever in puerperium (p < 0.0001), for pregnancies with and without ante- or perinatal risk factors for infectious complications, and also when caesarean delivery prior to labour and ROM and singletons in the cephalic presentation were considered separately (RR 11.03; 95% CI 9.39-12.96; stratum without risks). Considering the obstetrical challenge of how more women can deliver with fewer complications, reducing unnecessary caesarean delivery still seems to be an appropriate approach.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:issn |
0378-7346
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| pubmed:author | |
| pubmed:copyrightInfo |
Copyright 2005 S. Karger AG, Basel.
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| pubmed:issnType |
Print
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| pubmed:volume |
60
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
213-7
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| pubmed:dateRevised |
2006-11-15
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| pubmed:meshHeading |
pubmed-meshheading:16088198-Cesarean Section,
pubmed-meshheading:16088198-Databases, Factual,
pubmed-meshheading:16088198-Delivery, Obstetric,
pubmed-meshheading:16088198-Extraembryonic Membranes,
pubmed-meshheading:16088198-Female,
pubmed-meshheading:16088198-Fever,
pubmed-meshheading:16088198-Germany,
pubmed-meshheading:16088198-Humans,
pubmed-meshheading:16088198-Labor, Obstetric,
pubmed-meshheading:16088198-Pregnancy,
pubmed-meshheading:16088198-Puerperal Infection,
pubmed-meshheading:16088198-Risk,
pubmed-meshheading:16088198-Sepsis,
pubmed-meshheading:16088198-Surgical Wound Infection
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| pubmed:year |
2005
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| pubmed:articleTitle |
Association between method of delivery and puerperal infectious complications in the perinatal database of Baden-Württemberg 1998-2001.
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| pubmed:affiliation |
Competence Centre of Quality Assurance and Quality Management, Medical Service of the Statutory Health Insurance Baden-Wuerttemberg, Lahr, Germany. e.simoes@mdkbw.de
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| pubmed:publicationType |
Journal Article
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