Caesarean section on maternal request: risks and benefits in healthy nulliparous women and their infants

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC
Leanne S DahlgrenRobert M Liston

Abstract

To determine the risks and benefits of an elective Caesarean section (CS) at term in healthy nulliparous women. We conducted a population-based cohort study of deliveries between 1994 and 2002. Using bivariate and multivariable techniques, we compared maternal and neonatal outcomes in healthy nulliparous women who had undergone elective pre-labour CS (using breech presentation as a surrogate) with those in women who had undergone spontaneous labour with anticipated vaginal delivery (SL) at full term. There were 1046 deliveries in the pre-labour CS group and 38 021 in the SL group. Life-threatening maternal morbidity was similar in each group. Life-threatening neonatal morbidity was decreased in the CS group (RR 0.34; 99% CI 0.12 to 0.97). Subgroup analysis of the SL group by mode of delivery demonstrated the increased neonatal risk was associated with operative vaginal delivery and intrapartum CS but not spontaneous vaginal delivery. An elective pre-labour Caesarean section in a nulliparous woman at full term decreased the risk of life-threatening neonatal morbidity compared with spontaneous labour with anticipated vaginal delivery. However, the 63% of women with spontaneous labour who achieved a spontaneous vaginal delivery wo...Continue Reading

Citations

Jan 31, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Astrid M OtkjaerLone Krebs
Nov 26, 2019·The Journal of Obstetrics and Gynaecology Research·Luis C Machado JuniorHeráclito B de Carvalho
May 3, 2013·Obstetrics and Gynecology·Emily S MillerUNKNOWN Society for Maternal-Fetal Medicine Health Policy Committee
Oct 16, 2015·Revista da Associação Médica Brasileira·Sergio F de ToledoUNKNOWN Febrasgo, Sociedade Brasileira de Anestesiologia
Jan 16, 2013·BJOG : an International Journal of Obstetrics and Gynaecology·A KarlströmI Hildingsson
Jul 3, 2020·International Journal of Environmental Research and Public Health·Luisa MasciulloRoberto Brunelli
Aug 8, 2015·Deutsches Ärzteblatt International·Ioannis Mylonas, Klaus Friese

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