Maternal consequences of caesarean section. A retrospective study of intra-operative and postoperative maternal complications of caesarean section during a 10-year period
Objectives: This study was performed to assess the intra-operative surgical complications and postoperative maternal morbidity rate of caesarean section. Study design: A total of 2647 women, delivered by caesarean section in our department between 1983 and 1992, were studied retrospectively. Three c...
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| Veröffentlicht in: | European journal of obstetrics & gynecology and reproductive biology 1997-07, Vol.74 (1), p.1-6 |
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| creator | van Ham, Maaike A.P.C. van Dongen, Pieter W.J. Mulder, Jan |
| description | Objectives: This study was performed to assess the intra-operative surgical complications and postoperative maternal morbidity rate of caesarean section.
Study design: A total of 2647 women, delivered by caesarean section in our department between 1983 and 1992, were studied retrospectively. Three caesarean section groups were formed: (1) primary elective, (2) primary acute, without any effort to deliver vaginally, and (3) secondary acute, due to a failed vaginal delivery. The Student's-
t-, Fisher-exact- and
X
2-test were used for statistical analysis.
Rusults: The overall maternal
intra-operative complication rate was 14.8%. The most common complications were lacerations of the uterine corpus (10.1%) and bloodloss ≥1000 ml (7.3%). The complication rate of the secondary group (23.4%) was significantly higher (
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| doi_str_mv | 10.1016/S0301-2115(97)02725-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79166388</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0301211597027255</els_id><sourcerecordid>79166388</sourcerecordid><originalsourceid>FETCH-LOGICAL-c389t-e31ebe7aefc80c460454e35978922acf79109e2db778d920ed8f072488cb54e73</originalsourceid><addsrcrecordid>eNqFkU2LFDEQhoMo67j6ExZyENFDr_no7iQnWRa_YMWDeg41SbVEepI26V6Yv-SvND0zzF4EcwlUPfVW8b6EXHF2zRnv335jkvFGcN69NuoNE0p0TfeIbLhWolF91z4mmzPylDwr5RerT0pzQS6MaCU3fEP-fIEZc4SRuhQL_l4wOiw0DdQBFsgIkRZ0c0jxmt7QjHNOZVoL90jLvPj9yoY4Z2jShBkODYieTqnMD5Xdw5rdNAYHq-K_91C_5BB_UqCcNXuETKtKSP45eTLAWPDF6b8kPz68_377qbn7-vHz7c1d46Q2c4OS4xYV4OA0c23P2q5F2RmljRDgBmU4Myj8VintjWDo9cCUaLV220oqeUleHXWnnKofZba7UByOI0RMS7FVoO-l1hXsjqCrnpSMg51y2EHeW87smpE9ZGTXAKxR9pCR7erc1WnBst2hP0-dQqn9l6c-FAfjkCG6UM6YUL00vazYuyOG1Yz7gNkWF9b4fMjVSetT-M8hfwEMjrG4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>79166388</pqid></control><display><type>article</type><title>Maternal consequences of caesarean section. A retrospective study of intra-operative and postoperative maternal complications of caesarean section during a 10-year period</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>van Ham, Maaike A.P.C. ; van Dongen, Pieter W.J. ; Mulder, Jan</creator><creatorcontrib>van Ham, Maaike A.P.C. ; van Dongen, Pieter W.J. ; Mulder, Jan</creatorcontrib><description>Objectives: This study was performed to assess the intra-operative surgical complications and postoperative maternal morbidity rate of caesarean section.
Study design: A total of 2647 women, delivered by caesarean section in our department between 1983 and 1992, were studied retrospectively. Three caesarean section groups were formed: (1) primary elective, (2) primary acute, without any effort to deliver vaginally, and (3) secondary acute, due to a failed vaginal delivery. The Student's-
t-, Fisher-exact- and
X
2-test were used for statistical analysis.
Rusults: The overall maternal
intra-operative complication rate was 14.8%. The most common complications were lacerations of the uterine corpus (10.1%) and bloodloss ≥1000 ml (7.3%). The complication rate of the secondary group (23.4%) was significantly higher (
p<0.001) compared to both primary groups (7.4%). The overall maternal
postoperative morbidity rate was 35.7%. Fever (24.6%), bloodloss between 1000 and 1500 ml (4%), haematoma (3.5%) and urinary tract infections (3.0%) were the most frequent complications. The primary elective group showed significantly (
p<0.001) lower major (2.6%) and minor (23.7%) complication rates compared to the emergency groups (major 5.2%, minor 34%).
Conclusion: Emergency caesarean sections carried the greatest risks regarding maternal complications compared to elective procedures.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/S0301-2115(97)02725-5</identifier><identifier>PMID: 9243191</identifier><identifier>CODEN: EOGRAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Biological and medical sciences ; Cesarean Section - adverse effects ; Cesarean Section - mortality ; Elective ; Emergency ; Female ; Fever ; Hematoma - epidemiology ; Hemorrhage - epidemiology ; Humans ; Intra-operative and postoperative maternal complications ; Intraoperative Complications - epidemiology ; Medical sciences ; Obstetric Labor Complications ; Postoperative Complications - epidemiology ; Pregnancy ; Primary and secondary caesarean sections ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the genital tract and mammary gland ; Urinary Tract Infections - epidemiology ; Uterus - injuries</subject><ispartof>European journal of obstetrics & gynecology and reproductive biology, 1997-07, Vol.74 (1), p.1-6</ispartof><rights>1997</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-e31ebe7aefc80c460454e35978922acf79109e2db778d920ed8f072488cb54e73</citedby><cites>FETCH-LOGICAL-c389t-e31ebe7aefc80c460454e35978922acf79109e2db778d920ed8f072488cb54e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0301-2115(97)02725-5$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2763963$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9243191$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Ham, Maaike A.P.C.</creatorcontrib><creatorcontrib>van Dongen, Pieter W.J.</creatorcontrib><creatorcontrib>Mulder, Jan</creatorcontrib><title>Maternal consequences of caesarean section. A retrospective study of intra-operative and postoperative maternal complications of caesarean section during a 10-year period</title><title>European journal of obstetrics & gynecology and reproductive biology</title><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><description>Objectives: This study was performed to assess the intra-operative surgical complications and postoperative maternal morbidity rate of caesarean section.
Study design: A total of 2647 women, delivered by caesarean section in our department between 1983 and 1992, were studied retrospectively. Three caesarean section groups were formed: (1) primary elective, (2) primary acute, without any effort to deliver vaginally, and (3) secondary acute, due to a failed vaginal delivery. The Student's-
t-, Fisher-exact- and
X
2-test were used for statistical analysis.
Rusults: The overall maternal
intra-operative complication rate was 14.8%. The most common complications were lacerations of the uterine corpus (10.1%) and bloodloss ≥1000 ml (7.3%). The complication rate of the secondary group (23.4%) was significantly higher (
p<0.001) compared to both primary groups (7.4%). The overall maternal
postoperative morbidity rate was 35.7%. Fever (24.6%), bloodloss between 1000 and 1500 ml (4%), haematoma (3.5%) and urinary tract infections (3.0%) were the most frequent complications. The primary elective group showed significantly (
p<0.001) lower major (2.6%) and minor (23.7%) complication rates compared to the emergency groups (major 5.2%, minor 34%).
Conclusion: Emergency caesarean sections carried the greatest risks regarding maternal complications compared to elective procedures.</description><subject>Biological and medical sciences</subject><subject>Cesarean Section - adverse effects</subject><subject>Cesarean Section - mortality</subject><subject>Elective</subject><subject>Emergency</subject><subject>Female</subject><subject>Fever</subject><subject>Hematoma - epidemiology</subject><subject>Hemorrhage - epidemiology</subject><subject>Humans</subject><subject>Intra-operative and postoperative maternal complications</subject><subject>Intraoperative Complications - epidemiology</subject><subject>Medical sciences</subject><subject>Obstetric Labor Complications</subject><subject>Postoperative Complications - epidemiology</subject><subject>Pregnancy</subject><subject>Primary and secondary caesarean sections</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the genital tract and mammary gland</subject><subject>Urinary Tract Infections - epidemiology</subject><subject>Uterus - injuries</subject><issn>0301-2115</issn><issn>1872-7654</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU2LFDEQhoMo67j6ExZyENFDr_no7iQnWRa_YMWDeg41SbVEepI26V6Yv-SvND0zzF4EcwlUPfVW8b6EXHF2zRnv335jkvFGcN69NuoNE0p0TfeIbLhWolF91z4mmzPylDwr5RerT0pzQS6MaCU3fEP-fIEZc4SRuhQL_l4wOiw0DdQBFsgIkRZ0c0jxmt7QjHNOZVoL90jLvPj9yoY4Z2jShBkODYieTqnMD5Xdw5rdNAYHq-K_91C_5BB_UqCcNXuETKtKSP45eTLAWPDF6b8kPz68_377qbn7-vHz7c1d46Q2c4OS4xYV4OA0c23P2q5F2RmljRDgBmU4Myj8VintjWDo9cCUaLV220oqeUleHXWnnKofZba7UByOI0RMS7FVoO-l1hXsjqCrnpSMg51y2EHeW87smpE9ZGTXAKxR9pCR7erc1WnBst2hP0-dQqn9l6c-FAfjkCG6UM6YUL00vazYuyOG1Yz7gNkWF9b4fMjVSetT-M8hfwEMjrG4</recordid><startdate>19970701</startdate><enddate>19970701</enddate><creator>van Ham, Maaike A.P.C.</creator><creator>van Dongen, Pieter W.J.</creator><creator>Mulder, Jan</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970701</creationdate><title>Maternal consequences of caesarean section. A retrospective study of intra-operative and postoperative maternal complications of caesarean section during a 10-year period</title><author>van Ham, Maaike A.P.C. ; van Dongen, Pieter W.J. ; Mulder, Jan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-e31ebe7aefc80c460454e35978922acf79109e2db778d920ed8f072488cb54e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Biological and medical sciences</topic><topic>Cesarean Section - adverse effects</topic><topic>Cesarean Section - mortality</topic><topic>Elective</topic><topic>Emergency</topic><topic>Female</topic><topic>Fever</topic><topic>Hematoma - epidemiology</topic><topic>Hemorrhage - epidemiology</topic><topic>Humans</topic><topic>Intra-operative and postoperative maternal complications</topic><topic>Intraoperative Complications - epidemiology</topic><topic>Medical sciences</topic><topic>Obstetric Labor Complications</topic><topic>Postoperative Complications - epidemiology</topic><topic>Pregnancy</topic><topic>Primary and secondary caesarean sections</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the genital tract and mammary gland</topic><topic>Urinary Tract Infections - epidemiology</topic><topic>Uterus - injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Ham, Maaike A.P.C.</creatorcontrib><creatorcontrib>van Dongen, Pieter W.J.</creatorcontrib><creatorcontrib>Mulder, Jan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Ham, Maaike A.P.C.</au><au>van Dongen, Pieter W.J.</au><au>Mulder, Jan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal consequences of caesarean section. A retrospective study of intra-operative and postoperative maternal complications of caesarean section during a 10-year period</atitle><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>1997-07-01</date><risdate>1997</risdate><volume>74</volume><issue>1</issue><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><coden>EOGRAL</coden><abstract>Objectives: This study was performed to assess the intra-operative surgical complications and postoperative maternal morbidity rate of caesarean section.
Study design: A total of 2647 women, delivered by caesarean section in our department between 1983 and 1992, were studied retrospectively. Three caesarean section groups were formed: (1) primary elective, (2) primary acute, without any effort to deliver vaginally, and (3) secondary acute, due to a failed vaginal delivery. The Student's-
t-, Fisher-exact- and
X
2-test were used for statistical analysis.
Rusults: The overall maternal
intra-operative complication rate was 14.8%. The most common complications were lacerations of the uterine corpus (10.1%) and bloodloss ≥1000 ml (7.3%). The complication rate of the secondary group (23.4%) was significantly higher (
p<0.001) compared to both primary groups (7.4%). The overall maternal
postoperative morbidity rate was 35.7%. Fever (24.6%), bloodloss between 1000 and 1500 ml (4%), haematoma (3.5%) and urinary tract infections (3.0%) were the most frequent complications. The primary elective group showed significantly (
p<0.001) lower major (2.6%) and minor (23.7%) complication rates compared to the emergency groups (major 5.2%, minor 34%).
Conclusion: Emergency caesarean sections carried the greatest risks regarding maternal complications compared to elective procedures.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>9243191</pmid><doi>10.1016/S0301-2115(97)02725-5</doi><tpages>6</tpages></addata></record> |
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| ispartof | European journal of obstetrics & gynecology and reproductive biology, 1997-07, Vol.74 (1), p.1-6 |
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| subjects | Biological and medical sciences Cesarean Section - adverse effects Cesarean Section - mortality Elective Emergency Female Fever Hematoma - epidemiology Hemorrhage - epidemiology Humans Intra-operative and postoperative maternal complications Intraoperative Complications - epidemiology Medical sciences Obstetric Labor Complications Postoperative Complications - epidemiology Pregnancy Primary and secondary caesarean sections Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the genital tract and mammary gland Urinary Tract Infections - epidemiology Uterus - injuries |
| title | Maternal consequences of caesarean section. A retrospective study of intra-operative and postoperative maternal complications of caesarean section during a 10-year period |
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