NDLI: Comparison of maternal mortality and morbidity between trial of labor and elective cesarean section among women with previous cesarean delivery.

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Comparison of maternal mortality and morbidity between trial of labor and elective cesarean section among women with previous cesarean delivery.

Content Provider	Semantic Scholar
Author	Wen, Shi Wu Rusen, Ira David Walker, Mark Liston, Robert M. Kramer, Michael S. Baskett, Tom Heaman, Maureen Liu, Shiliang
Copyright Year	2004
Abstract	OBJECTIVE This study was undertaken to assess the safety of trial of labor after previous cesarean delivery. STUDY DESIGN Retrospective cohort study of 308,755 Canadian women with previous cesarean delivery between 1988 and 2000. Occurrences of in-hospital maternal death, uterine rupture, and other severe maternal morbidity were compared between women with a trial of labor and those with an elective cesarean section. RESULTS Rates of uterine rupture (0.65%), transfusion (0.19%), and hysterectomy (0.10%) were significantly higher in the trial-of-labor group. Maternal in-hospital death rate, however, was lower in the trial-of-labor group (1.6 per 100,000) than in the elective cesarean section group (5.6 per 100,000). The association between trial of labor and uterine rupture was stronger in low volume (<500) than in high volume (> or =500 births per year) obstetric units. CONCLUSION Trial of labor is associated with increased risk of uterine rupture, but elective cesarean section may increase the risk of maternal death.
Starting Page	19
Ending Page	23
Page Count	5
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://www.sarasotaanesthesia.com/reading/literature/OB_wen.pdf
PubMed reference number	15507951v1
Volume Number	191
Issue Number	4
Journal	American journal of obstetrics and gynecology
Language	English
Access Restriction	Open
Subject Keyword	Birth Cesarean section Cessation of life Maternal Mortality Morbidity - disease rate Uterine Rupture Uterus
Content Type	Text
Resource Type	Article

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