NDLI: Severe acute maternal morbidity and mode of delivery in the Netherlands

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Severe acute maternal morbidity and mode of delivery in the Netherlands

Content Provider	Scilit
Author	van Dillen, Jeroen Zwart, Joost J. Schutte, Joke Bloemenkamp, Kitty W. M. van Roosmalen, Jos
Copyright Year	2010
Description	Journal: Acta Obstetricia et Gynecologica Scandinavica Objective. To evaluate the risk of severe acute maternal morbidity (SAMM) related to mode of delivery. Design. Prospectively nationwide population based cohort study. Setting. All 98 maternity units in the Netherlands. Population. All pregnant women in the Netherlands. Methods. Cases were collected during a 2-year period. Incidence was assessed for all cases and for a subgroup of cases in which a direct relation between SAMM and mode of delivery was possible. In the latter group, all cases not clearly related to mode of delivery were excluded. Incidence of cesarean section (CS) compared to (attempted) vaginal delivery was calculated, and risk of SAMM after previous CS was assessed. Main outcome measures. Incidence of SAMM by mode of delivery; odds ratios (OR). Results. The incidence of SAMM possibly related to mode of delivery was 6.4/1,000 during elective CS compared to 3.9/1,000 during attempted vaginal delivery (OR 1.7: 95% CI 1.4–2.0). Women with a previous CS were at increased risk for SAMM in their present pregnancy (OR 3.0: 95% CI 2.7–3.3). Conclusion. CS in a previous as well as present pregnancy increased the risk of SAMM. The risk remained increased after excluding those cases where SAMM was not clearly related to mode of delivery.
Ending Page	1465
Starting Page	1460
ISSN	00221295
e-ISSN	16000412
DOI	10.3109/00016349.2010.519018
Journal	Acta Obstetricia et Gynecologica Scandinavica
Issue Number	11
Volume Number	89
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2010-11-01
Access Restriction	Open
Subject Keyword	Journal: Acta Obstetricia et Gynecologica Scandinavica Obstetrics and Gynecology Previous Cs Related To Mode Mode of Delivery
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology

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