کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6187445 | 1600294 | 2016 | 5 صفحه PDF | دانلود رایگان |
ObjectiveTo investigate if multiparous individuals who had undergone a previous cesarean delivery experienced an increased risk of severe maternal outcomes or adverse perinatal outcomes compared with multiparous individuals who had undergone previous vaginal deliveries.MethodsAn analytical cross-sectional study at a university hospital in Dar es Salaam, Tanzania, enrolled multiparous participants of at least 28Â weeks of pregnancy between February 1 and June 30, 2012 . Data were collected from patients' medical records and the hospital's obstetric database. Odds ratios (OR) and 95% confidence intervals (CI) were calculated to compare outcomes among patients who had or had not undergone previous cesarean deliveries.ResultsA total of 2478 patients were enrolled. A previous cesarean delivery resulted in no increase in the risk of severe maternal outcomes (OR 0.86, 95% CI 0.58-1.26; PÂ =Â 0.46), and decreased risk of stillbirth (OR 0.42, 95% CI 0.29-0.62, PÂ <Â 0.001), and intrapartum stillbirth and neonatal distress (OR 0.58, 95% CI 0.38-0.87, PÂ =Â 0.007).ConclusionPrevious cesarean delivery was not a risk factor for severe maternal outcomes or adverse perinatal outcomes. The present study was conducted at a referral institution, where individuals with previous cesarean deliveries may constitute a healthy group. Additionally, there could be differences between the study groups in terms of healthcare-seeking behavior, referral mechanisms, intrapartum monitoring, and clinical decision making.
Journal: International Journal of Gynecology & Obstetrics - Volume 133, Issue 2, May 2016, Pages 183-187