Previous cesarean section and the risk of postpartum maternal complications and adverse neonatal outcomes in future pregnancies

Objective: To assess maternal postpartum and neonatal outcomes associated with previous method of delivery. Study Design: We analyzed prospectively collected maternal and neonatal data from July 2002 to December 2003. Data were collected from dedicated perinatal database and neonatal database from d...

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Bibliographic Details
Published in:	Journal of perinatology Vol. 29; no. 11; pp. 726 - 730
Main Authors:	Galyean, A M, Lagrew, D C, Bush, M C, Kurtzman, J T
Format:	Journal Article
Language:	English
Published:	New York Nature Publishing Group US 01-11-2009 Nature Publishing Group
Subjects:	Aminoglycosides Blood transfusion Blood Transfusion - statistics & numerical data California Cesarean section Cesarean Section - statistics & numerical data Cesarean Section, Repeat - statistics & numerical data Childbirth Complications Cross-Sectional Studies Female Health aspects Humans Infant, Newborn Infant, Newborn, Diseases - epidemiology Infant, Newborn, Diseases - etiology Intensive Care Units - statistics & numerical data Labor Length of Stay - statistics & numerical data Medicine Medicine & Public Health Neonates Newborn babies original-article Parity Patient Admission - statistics & numerical data Patient outcomes Patient Readmission - statistics & numerical data Patients Pediatric Surgery Pediatrics Postoperative Complications - epidemiology Postoperative Complications - etiology Postpartum Pregnancy Pregnancy Complications - epidemiology Pregnancy Complications - etiology Pregnancy Outcome Pregnancy, Complications of Prospective Studies Puerperal Disorders - epidemiology Puerperal Disorders - etiology Puerperal Infection - epidemiology Puerperal Infection - etiology Retrospective Studies Risk Assessment - statistics & numerical data Risk factors Thromboembolism - epidemiology Thromboembolism - etiology Trial of Labor Vaginal Birth after Cesarean - statistics & numerical data California United States TOL repeat CS risks of prior CS elective primary CS postpartum outcomes
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Summary:	Objective: To assess maternal postpartum and neonatal outcomes associated with previous method of delivery. Study Design: We analyzed prospectively collected maternal and neonatal data from July 2002 to December 2003. Data were collected from dedicated perinatal database and neonatal database from discharge and procedure codes. Groups were: (i) multiparous, prior vaginal delivery (VD), and (ii) multiparous, prior cesarean (CS). This group was subdivided by subsequent pregnancy trial or no trial of labor (No TOL). Results were compared with χ 2 -analysis; significance P <0.05. Results: There were 17 406 births. Prior CS patients without trial of labor (TOL) required more blood transfusions, intensive care unit admissions and hospital readmissions than women with a prior VD. Prior CS patients with TOL required more aminoglycosides for postpartum infection. Term neonates of (CS) mothers without a TOL were more likely to have prolonged hospitalization and require ventilatory support. Conclusions: In their subsequent delivery, women with a prior CS delivery are at significant risks for postpartum maternal and neonatal morbidities compared with parous patients who experienced a prior VD.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0743-8346 1476-5543
DOI:	10.1038/jp.2009.108