Maternal Morbidity Associated With Vaginal Versus Cesarean Delivery

摘要: OBJECTIVE: To describe postpartum maternal morbidity associated with mode of delivery in term, singleton pregnancies. METHODS: The Magee Obstetric Medical and Infant database was examined for the years 1995 to 2000. Patients were grouped into 6 types mode: spontaneous vaginal delivery, operative primary cesarean without trial labor, repeat labor. Multivariable logistic regression provided odds ratios 95% confidence intervals (CI) by adjusted demographic characteristics comorbidities. Spontaneous used as referent group (odds ratio = 1). RESULTS: Of 32,834 subjects, 27,178 had (operative 4,908; 22,270) 5,656 delivery. Third- or fourth-degree lacerations occurred 1,733 (7.8%) women who compared 1,098 (22.3%) Overall, 523 (1.6%) endometritis. Compared labor conferred a 21.2-fold increased risk endometritis (95% CI 15.4, 29.1). Even after 10.3 times more likely develop 5.9, 17.9) than transfusion highest delivered 4.2 higher 1.8, 10.1) pneumonia 9.3 3.4, 25.6) Deep venous thromboses 15 (0.1%) 2 (0.04%) 12 (0.2%) CONCLUSION: is risks endometritis, need transfusion, pneumonia; however, these rates are lower reported previously.