NDLI: Adverse Maternal Outcomes Associated with Uterine Extensions at the Time of Cesarean Delivery

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Adverse Maternal Outcomes Associated with Uterine Extensions at the Time of Cesarean Delivery

Content Provider	Scilit
Author	Patel, Soha S. Koelper, Nathanael C. Srinivas, Sindhu K. Sammel, Mary D. Levine, Lisa D.
Copyright Year	2019
Description	Objective We sought to compare adverse maternal outcomes between women with and without a uterine extension at the time of cesarean. Study Design We conducted a retrospective cohort study of women with and without a uterine extension during a primary low transverse cesarean of a full-term singleton gestation. The primary outcomes were (1) estimated blood loss (EBL) and (2) composite maternal morbidity (defined as ≥ 1 of the following: blood transfusion, endometritis, or readmission). Pearson's chi-square or Fisher's exact test was used to compare categorical data; Student's t-test or Mann–Whitney's U-tests was used for continuous data. Linear and logistic regressions were used to adjust for confounding factors. Results There were 252 women included (126 with extension and 126 without an extension). Women with extensions had a higher EBL (1,038 vs. 832 mL, p < 0.001) and higher rate of the composite maternal morbidity (19.1 vs. 5.6%, p = 0.001). Additionally, women with extensions had an increased risk of postpartum hemorrhage ≥ 1 L (53.2 vs. 23.8%, p < 0.001) and 1.5 L (12.7 vs. 0%, p < 0.001) and were associated with prolonged length of hospital stay (29 vs. 17%, p = 0.04). Conclusion Uterine extensions are associated with adverse maternal outcomes including higher EBL and increase in maternal morbidity.
Related Links	http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0038-1676827.pdf
Ending Page	789
Page Count	5
Starting Page	785
ISSN	07351631
e-ISSN	10988785
DOI	10.1055/s-0038-1676827
Journal	American Journal of Perinatology
Issue Number	08
Volume Number	36
Language	English
Publisher	Georg Thieme Verlag KG
Publisher Date	2019-01-15
Access Restriction	Open
Subject Keyword	Journal: American Journal of Perinatology Obstetrics and Gynecology Blood Transfusion Cesarean Delivery Maternal Morbidity Postpartum Hemorrhage
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health Obstetrics and Gynecology

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