Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
6143667 | American Journal of Obstetrics and Gynecology | 2016 | 26 Pages |
Abstract
An extremely high proportion of women with severe morbidity (42.5%) delivered preterm with 17.8% delivering <32 weeks, which underscores the importance of access to appropriate-level care for mothers with SMM and their newborns. Further, the extremely high rate of preterm delivery (75%) in women with placental hemorrhage in combination with their 63% prior cesarean delivery rate highlights another risk of prior cesarean delivery: subsequent preterm delivery. These data provide a reminder that a cesarean delivery could be a contributing factor to not only hemorrhage-related SMM, but also to increased subsequent preterm delivery, more reason to continue national efforts to safely reduce initial cesarean deliveries.
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Authors
Sarah J. MD, PhD, Anisha MPH, Jeffrey MD, Naomi PhD, Elliot K. MD,