Abstract
To compare perinatal and maternal morbidity associated with caesarean sections performed in the first with that performed in the second stages of labour. Comparative analyses between nulliparous women with singleton term pregnancies who had a caesarean section in the first stage of labour and those who had a second stage caesarean section were completed using standard statistical methods. A subgroup analysis, according to indication for caesarean section, was also performed. Of 627 women, 81% had caesarean delivery in the first stage and 19% had caesarean delivery in the second stage of labour. Women undergoing caesarean delivery at full cervical dilatation were 1.9 times more likely to have an augmented labour (95% CI 1.2-3.4, P < 0.001) and 2.8 times more likely to have epidural anaesthesia in labour (95% CI 1.5-5.2, P < 0.001) than those in the first stage. Compared with caesarean delivery in the first stage of labour, women undergoing caesarean delivery at full cervical dilatation were 4.6 times more likely to have composite intraoperative complications (95% CI 2.7-7.9, P < 0.001), 3.1 times more likely to have blood loss greater than 1,000 ml (95% CI 1.3-7.4, P = 0.01), and 2.9 times more likely to have a blood transfusion...Continue Reading
References
Jan 1, 1987·British Journal of Obstetrics and Gynaecology·B Lowe
Jan 1, 1997·American Journal of Obstetrics and Gynecology·A RevahK Ritchie
Oct 25, 2001·Lancet·D J MurphyR Patel
Apr 23, 2002·Acta Obstetricia Et Gynecologica Scandinavica·Wolfgang JanniFranz Kainer
Sep 26, 2002·Journal of the Royal Statistical Society. Series A, (Statistics in Society)·D BlaneM Rosato
Sep 10, 2003·Obstetrics and Gynecology·V M AllenT F Baskett
Oct 11, 2003·Obstetrics and Gynecology·K S JosephAlexander C Allen
May 4, 2004·Obstetrics and Gynecology·Lara J BurrowsAnne M Weber
Aug 6, 2004·American Journal of Obstetrics and Gynecology·Rachel E LieblingDeirdre J Murphy
Apr 2, 2005·Obstetrics and Gynecology·Shiliang LiuUNKNOWN Maternal Health Study Group of the Canadian Perinatal Surveillance System
Jun 17, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·Victoria M AllenThomas F Baskett
Aug 2, 2006·Obstetrics and Gynecology·Victoria M AllenThomas F Baskett
Aug 29, 2006·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·L Cebekulu, E J Buchmann
Feb 14, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Shiliang LiuUNKNOWN Maternal Health Study Group of the Canadian Perinatal Surveillance System
Feb 17, 2007·Paediatric and Perinatal Epidemiology·Ana P BetránMarsden Wagner
Apr 3, 2007·Obstetrics and Gynecology·James M AlexanderUNKNOWN National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units Network (MFMU)
Jun 21, 2007·International Journal of Technology Assessment in Health Care·Luan LindenAlison Cook
Jun 23, 2007·BMJ : British Medical Journal·Jeremy A Lauer, Ana P Betrán
Jul 14, 2007·Quality Management in Health Care·Gillian Leng
Citations
Sep 24, 2011·Obstetrics and Gynecology International·Ayhan SucakNuri Danışman
Jan 23, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Vasileios PergialiotisGeorgios D Vlachos
Jul 12, 2012·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·D SchwakeJ S Younis
Jul 12, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Sónia BarataLuis Mendes Graça
Jun 10, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·O AsıcıogluN Yenigül
Mar 18, 2010·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Vineshree GovenderJagidesa Moodley
Aug 1, 2015·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Georgina DavisJoanne Ludlow
Sep 29, 2009·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Raya Al-SuhelBruce Shadbolt
Sep 29, 2009·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Marian Chinnock, Stephen Robson
Nov 23, 2013·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M J CuervaJ L Bartha
Aug 26, 2014·Journal of Psychosomatic Obstetrics and Gynaecology·Cecilie JespersenHanne Kjærgaard
Dec 5, 2014·Journal of Perinatology : Official Journal of the California Perinatal Association·A L RietveldP W Teunissen
Jun 12, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Greg A Pearson, Ian Z MacKenzie
Feb 19, 2019·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Michael YuSarah Janssens
Feb 24, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Dana VitnerRon Gonen
Aug 19, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Chung Ming ChorTak Yeung Leung
Nov 21, 2015·Obstetrical & Gynecological Survey·Jennifer B ManningCarl H Rose
Sep 11, 2019·The Journal of Obstetrics and Gynaecology Research·Moran GilUri Dior
Sep 29, 2019·American Journal of Perinatology·Antonina I FrolovaAlison G Cahill
Mar 19, 2021·The Journal of International Medical Research·Jun ZhanXi Tan
Apr 25, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Shadan S MehrabanNisha Lakhi
Sep 16, 2021·JAMA Network Open·Lijie JiaZifeng Xu
Jul 7, 2017·Gynécologie, Obstétrique, Fertilité & Sénologie·N BrueyM Dreyfus
Jan 27, 2020·Fetal Diagnosis and Therapy·Michal LipschuetzRon Unger