Influence of the mode of delivery on maternal and neonatal outcomes: a comparison between elective cesarean section and planned vaginal delivery in a low-risk obstetric population
Objective The aim of the study was to compare the maternal and neonatal morbidity associated with elective cesarean sections with planned vaginal delivery. Methods A total of 178 women with elective cesarean section were compared with the next parity- and age-matched women presenting in spontaneous...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2011-06, Vol.283 (6), p.1193-1198 |
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| creator | Bodner, Klaus Wierrani, Franz Grünberger, Werner Bodner-Adler, Barbara |
| description | Objective
The aim of the study was to compare the maternal and neonatal morbidity associated with elective cesarean sections with planned vaginal delivery.
Methods
A total of 178 women with elective cesarean section were compared with the next parity- and age-matched women presenting in spontaneous labor. Our analysis was restricted to a sample of low-risk obstetrical women. Maternal and neonatal outcomes were the main outcome variables of interest. Maternal morbidity outcome variables included wound infection, trauma, puerperal febrile morbidity and significant blood loss (>500 ml). Neonatal outcomes were captured by Apgar scores, cord pH as well as the occurrence of neonatal infections.
Results
A significantly higher rate of puerperal febrile morbidity (
n
= 46 vs. 14,
p
= 0.0001) and wound infections (
n
= 16 vs. 2,
p
= 0.0001) could be detected in the elective cesarean section group. Additionally, a significant blood loss > 500 ml was more than twice as frequent in the cesarean section group (
n
= 22 vs. 10,
p
= 0.03) with non-significant lower postpartum hemoglobin levels being observed (10.4 vs. 11.2 g/dL,
p
> 0.05). A significant increase for the use of iron supplementation (
n
= 146 vs. 122,
p
= 0.002), analgesics (
n
= 168 vs. 60,
p
= 0.0001) and antibiotics (
n
= 48 vs. 18,
p
= 0.0001) could be found in the puerperal period and hospital admission was prolonged in elective cesarean section (6.8 vs. 3.5 days,
p
= 0.0001). Additionally, problems in breastfeeding occurred more frequently in this group (
n
= 18 vs. 4,
p
= 0.002). Neonatal complications were generally low in both the groups with no significant differences being observed (
p
> 0.05).
Conclusion
The increased maternal morbidity in elective cesarean section included puerperal febrile morbidity, wound infections as well as breastfeeding problems in the postpartum period. Women should be sufficiently counseled regarding the increased risk of these complications. |
| doi_str_mv | 10.1007/s00404-010-1525-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_866531852</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2261545593</sourcerecordid><originalsourceid>FETCH-LOGICAL-c437t-ec45542aa19a172c220ab0afbdef6706c29e6feb3c725a2d2e3ba4dd7fd539a33</originalsourceid><addsrcrecordid>eNp1kc1u1TAQhS0EopfCA7BBlliwCoydOL5hhyoKlSqxgXU0sSclJbGD7bS6z8ULYveWIiGx8vyc-Wbkw9hLAW8FgH4XARpoKhBQCSVVdXjEdqKpZQVaiMdsB12JodUn7FmM1wBC7vftU3YiQYHqGr1jvy7cOG_kDHE_8vSd-OLtXWxpnm4oHLh3fMFEweHM0VnuyDtMOfFbMn6h-J4jz8GKYYpZPFC6JXKcZjIpI7ihiIHQ8VgKWVEo64zOkeU3eDUV8sO6Kff57G-rTPvB_RATpTAZvvp1m7HMP2dPRpwjvbh_T9m3849fzz5Xl18-XZx9uKxMU-tUkWmUaiSi6FBoaaQEHADHwdLYamiN7KgdaaiNlgqllVQP2FirR6vqDuv6lL05ctfgf24UU79M0dCcLye_xX7ftqoWeyWz8vU_ymu_lQ-LvZStUPmQrvDEUWWCjzHQ2K9hWjAcegF9MbQ_GtpDybOh_SHPvLonb8NC9mHij4NZII-CmFvuisLf1f-n_gayELBb</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261545593</pqid></control><display><type>article</type><title>Influence of the mode of delivery on maternal and neonatal outcomes: a comparison between elective cesarean section and planned vaginal delivery in a low-risk obstetric population</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Bodner, Klaus ; Wierrani, Franz ; Grünberger, Werner ; Bodner-Adler, Barbara</creator><creatorcontrib>Bodner, Klaus ; Wierrani, Franz ; Grünberger, Werner ; Bodner-Adler, Barbara</creatorcontrib><description>Objective
The aim of the study was to compare the maternal and neonatal morbidity associated with elective cesarean sections with planned vaginal delivery.
Methods
A total of 178 women with elective cesarean section were compared with the next parity- and age-matched women presenting in spontaneous labor. Our analysis was restricted to a sample of low-risk obstetrical women. Maternal and neonatal outcomes were the main outcome variables of interest. Maternal morbidity outcome variables included wound infection, trauma, puerperal febrile morbidity and significant blood loss (>500 ml). Neonatal outcomes were captured by Apgar scores, cord pH as well as the occurrence of neonatal infections.
Results
A significantly higher rate of puerperal febrile morbidity (
n
= 46 vs. 14,
p
= 0.0001) and wound infections (
n
= 16 vs. 2,
p
= 0.0001) could be detected in the elective cesarean section group. Additionally, a significant blood loss > 500 ml was more than twice as frequent in the cesarean section group (
n
= 22 vs. 10,
p
= 0.03) with non-significant lower postpartum hemoglobin levels being observed (10.4 vs. 11.2 g/dL,
p
> 0.05). A significant increase for the use of iron supplementation (
n
= 146 vs. 122,
p
= 0.002), analgesics (
n
= 168 vs. 60,
p
= 0.0001) and antibiotics (
n
= 48 vs. 18,
p
= 0.0001) could be found in the puerperal period and hospital admission was prolonged in elective cesarean section (6.8 vs. 3.5 days,
p
= 0.0001). Additionally, problems in breastfeeding occurred more frequently in this group (
n
= 18 vs. 4,
p
= 0.002). Neonatal complications were generally low in both the groups with no significant differences being observed (
p
> 0.05).
Conclusion
The increased maternal morbidity in elective cesarean section included puerperal febrile morbidity, wound infections as well as breastfeeding problems in the postpartum period. Women should be sufficiently counseled regarding the increased risk of these complications.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-010-1525-y</identifier><identifier>PMID: 20505947</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Acid-Base Equilibrium ; Adult ; Apgar Score ; Austria ; Birth Injuries - etiology ; Blood Loss, Surgical ; Breast Feeding ; Breastfeeding & lactation ; Case-Control Studies ; Cesarean Section ; Delivery, Obstetric ; Endocrinology ; Female ; Gynecology ; Health risk assessment ; Hemoglobinometry ; Human Genetics ; Humans ; Infant, Newborn ; Infections ; Length of Stay ; Materno-fetal Medicine ; Medicine ; Medicine & Public Health ; Middle Aged ; Morbidity ; Obstetrics/Perinatology/Midwifery ; Pregnancy ; Pregnancy Outcome ; Puerperal Infection - etiology ; Risk Factors ; Young Adult</subject><ispartof>Archives of gynecology and obstetrics, 2011-06, Vol.283 (6), p.1193-1198</ispartof><rights>Springer-Verlag 2010</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2010). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-ec45542aa19a172c220ab0afbdef6706c29e6feb3c725a2d2e3ba4dd7fd539a33</citedby><cites>FETCH-LOGICAL-c437t-ec45542aa19a172c220ab0afbdef6706c29e6feb3c725a2d2e3ba4dd7fd539a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-010-1525-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-010-1525-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20505947$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bodner, Klaus</creatorcontrib><creatorcontrib>Wierrani, Franz</creatorcontrib><creatorcontrib>Grünberger, Werner</creatorcontrib><creatorcontrib>Bodner-Adler, Barbara</creatorcontrib><title>Influence of the mode of delivery on maternal and neonatal outcomes: a comparison between elective cesarean section and planned vaginal delivery in a low-risk obstetric population</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Objective
The aim of the study was to compare the maternal and neonatal morbidity associated with elective cesarean sections with planned vaginal delivery.
Methods
A total of 178 women with elective cesarean section were compared with the next parity- and age-matched women presenting in spontaneous labor. Our analysis was restricted to a sample of low-risk obstetrical women. Maternal and neonatal outcomes were the main outcome variables of interest. Maternal morbidity outcome variables included wound infection, trauma, puerperal febrile morbidity and significant blood loss (>500 ml). Neonatal outcomes were captured by Apgar scores, cord pH as well as the occurrence of neonatal infections.
Results
A significantly higher rate of puerperal febrile morbidity (
n
= 46 vs. 14,
p
= 0.0001) and wound infections (
n
= 16 vs. 2,
p
= 0.0001) could be detected in the elective cesarean section group. Additionally, a significant blood loss > 500 ml was more than twice as frequent in the cesarean section group (
n
= 22 vs. 10,
p
= 0.03) with non-significant lower postpartum hemoglobin levels being observed (10.4 vs. 11.2 g/dL,
p
> 0.05). A significant increase for the use of iron supplementation (
n
= 146 vs. 122,
p
= 0.002), analgesics (
n
= 168 vs. 60,
p
= 0.0001) and antibiotics (
n
= 48 vs. 18,
p
= 0.0001) could be found in the puerperal period and hospital admission was prolonged in elective cesarean section (6.8 vs. 3.5 days,
p
= 0.0001). Additionally, problems in breastfeeding occurred more frequently in this group (
n
= 18 vs. 4,
p
= 0.002). Neonatal complications were generally low in both the groups with no significant differences being observed (
p
> 0.05).
Conclusion
The increased maternal morbidity in elective cesarean section included puerperal febrile morbidity, wound infections as well as breastfeeding problems in the postpartum period. Women should be sufficiently counseled regarding the increased risk of these complications.</description><subject>Acid-Base Equilibrium</subject><subject>Adult</subject><subject>Apgar Score</subject><subject>Austria</subject><subject>Birth Injuries - etiology</subject><subject>Blood Loss, Surgical</subject><subject>Breast Feeding</subject><subject>Breastfeeding & lactation</subject><subject>Case-Control Studies</subject><subject>Cesarean Section</subject><subject>Delivery, Obstetric</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gynecology</subject><subject>Health risk assessment</subject><subject>Hemoglobinometry</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infections</subject><subject>Length of Stay</subject><subject>Materno-fetal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Puerperal Infection - etiology</subject><subject>Risk Factors</subject><subject>Young Adult</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc1u1TAQhS0EopfCA7BBlliwCoydOL5hhyoKlSqxgXU0sSclJbGD7bS6z8ULYveWIiGx8vyc-Wbkw9hLAW8FgH4XARpoKhBQCSVVdXjEdqKpZQVaiMdsB12JodUn7FmM1wBC7vftU3YiQYHqGr1jvy7cOG_kDHE_8vSd-OLtXWxpnm4oHLh3fMFEweHM0VnuyDtMOfFbMn6h-J4jz8GKYYpZPFC6JXKcZjIpI7ihiIHQ8VgKWVEo64zOkeU3eDUV8sO6Kff57G-rTPvB_RATpTAZvvp1m7HMP2dPRpwjvbh_T9m3849fzz5Xl18-XZx9uKxMU-tUkWmUaiSi6FBoaaQEHADHwdLYamiN7KgdaaiNlgqllVQP2FirR6vqDuv6lL05ctfgf24UU79M0dCcLye_xX7ftqoWeyWz8vU_ymu_lQ-LvZStUPmQrvDEUWWCjzHQ2K9hWjAcegF9MbQ_GtpDybOh_SHPvLonb8NC9mHij4NZII-CmFvuisLf1f-n_gayELBb</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Bodner, Klaus</creator><creator>Wierrani, Franz</creator><creator>Grünberger, Werner</creator><creator>Bodner-Adler, Barbara</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20110601</creationdate><title>Influence of the mode of delivery on maternal and neonatal outcomes: a comparison between elective cesarean section and planned vaginal delivery in a low-risk obstetric population</title><author>Bodner, Klaus ; Wierrani, Franz ; Grünberger, Werner ; Bodner-Adler, Barbara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-ec45542aa19a172c220ab0afbdef6706c29e6feb3c725a2d2e3ba4dd7fd539a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Acid-Base Equilibrium</topic><topic>Adult</topic><topic>Apgar Score</topic><topic>Austria</topic><topic>Birth Injuries - etiology</topic><topic>Blood Loss, Surgical</topic><topic>Breast Feeding</topic><topic>Breastfeeding & lactation</topic><topic>Case-Control Studies</topic><topic>Cesarean Section</topic><topic>Delivery, Obstetric</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Gynecology</topic><topic>Health risk assessment</topic><topic>Hemoglobinometry</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infections</topic><topic>Length of Stay</topic><topic>Materno-fetal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Puerperal Infection - etiology</topic><topic>Risk Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bodner, Klaus</creatorcontrib><creatorcontrib>Wierrani, Franz</creatorcontrib><creatorcontrib>Grünberger, Werner</creatorcontrib><creatorcontrib>Bodner-Adler, Barbara</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bodner, Klaus</au><au>Wierrani, Franz</au><au>Grünberger, Werner</au><au>Bodner-Adler, Barbara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of the mode of delivery on maternal and neonatal outcomes: a comparison between elective cesarean section and planned vaginal delivery in a low-risk obstetric population</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>283</volume><issue>6</issue><spage>1193</spage><epage>1198</epage><pages>1193-1198</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Objective
The aim of the study was to compare the maternal and neonatal morbidity associated with elective cesarean sections with planned vaginal delivery.
Methods
A total of 178 women with elective cesarean section were compared with the next parity- and age-matched women presenting in spontaneous labor. Our analysis was restricted to a sample of low-risk obstetrical women. Maternal and neonatal outcomes were the main outcome variables of interest. Maternal morbidity outcome variables included wound infection, trauma, puerperal febrile morbidity and significant blood loss (>500 ml). Neonatal outcomes were captured by Apgar scores, cord pH as well as the occurrence of neonatal infections.
Results
A significantly higher rate of puerperal febrile morbidity (
n
= 46 vs. 14,
p
= 0.0001) and wound infections (
n
= 16 vs. 2,
p
= 0.0001) could be detected in the elective cesarean section group. Additionally, a significant blood loss > 500 ml was more than twice as frequent in the cesarean section group (
n
= 22 vs. 10,
p
= 0.03) with non-significant lower postpartum hemoglobin levels being observed (10.4 vs. 11.2 g/dL,
p
> 0.05). A significant increase for the use of iron supplementation (
n
= 146 vs. 122,
p
= 0.002), analgesics (
n
= 168 vs. 60,
p
= 0.0001) and antibiotics (
n
= 48 vs. 18,
p
= 0.0001) could be found in the puerperal period and hospital admission was prolonged in elective cesarean section (6.8 vs. 3.5 days,
p
= 0.0001). Additionally, problems in breastfeeding occurred more frequently in this group (
n
= 18 vs. 4,
p
= 0.002). Neonatal complications were generally low in both the groups with no significant differences being observed (
p
> 0.05).
Conclusion
The increased maternal morbidity in elective cesarean section included puerperal febrile morbidity, wound infections as well as breastfeeding problems in the postpartum period. Women should be sufficiently counseled regarding the increased risk of these complications.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>20505947</pmid><doi>10.1007/s00404-010-1525-y</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0932-0067 |
| ispartof | Archives of gynecology and obstetrics, 2011-06, Vol.283 (6), p.1193-1198 |
| issn | 0932-0067 1432-0711 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_866531852 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Acid-Base Equilibrium Adult Apgar Score Austria Birth Injuries - etiology Blood Loss, Surgical Breast Feeding Breastfeeding & lactation Case-Control Studies Cesarean Section Delivery, Obstetric Endocrinology Female Gynecology Health risk assessment Hemoglobinometry Human Genetics Humans Infant, Newborn Infections Length of Stay Materno-fetal Medicine Medicine Medicine & Public Health Middle Aged Morbidity Obstetrics/Perinatology/Midwifery Pregnancy Pregnancy Outcome Puerperal Infection - etiology Risk Factors Young Adult |
| title | Influence of the mode of delivery on maternal and neonatal outcomes: a comparison between elective cesarean section and planned vaginal delivery in a low-risk obstetric population |
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