Laparotomy in women with severe acute maternal morbidity: secondary analysis of a nationwide cohort study

BMC Pregnancy and Childbirth
Tom WitteveenThomas van den Akker

Abstract

Although pregnancy-related laparotomy is a major intervention, literature is limited to small case-control or single center studies. We aimed to identify national incidence rates for postpartum laparotomy related to severe acute maternal morbidity (SAMM) in a high-income country and test the hypothesis that risk of postpartum laparotomy differs by mode of birth. In a population-based cohort study in all 98 hospitals with a maternity unit in the Netherlands, pregnant women with SAMM according to specified disease and management criteria were included from 01/08/2004 to 01/08/2006. We calculated the incidence of postpartum laparotomy after vaginal and cesarean births. Laparotomies were analyzed in relation to mode of birth using all births in the country as reference. Relative risks (RR) were calculated for laparotomy following emergency and planned cesarean section compared to vaginal birth, excluding laparotomies following births before 24 weeks' gestation and hysterectomies performed during cesarean section. The incidence of postpartum laparotomy in women with SAMM in the Netherlands was 6.0 per 10,000 births. Incidence was 30.1 and 1.8 per 10,000 following cesarean and vaginal birth respectively. Compared to vaginal birth, RR...Continue Reading

References

Apr 1, 1997·Acta Obstetricia Et Gynecologica Scandinavica·N SchuitemakerJ B Gravenhorst
Sep 4, 1999·Lancet·M H Hall, S Bewley
May 29, 2004·Clinical Obstetrics and Gynecology·Carolyn Zelop, Linda J Heffner
Mar 1, 2005·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·J D Seffah
Nov 25, 2006·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Samuel LurieAbraham Golan
Nov 16, 2007·The Journal of Obstetrics and Gynaecology Research·Subrata Lall SealAjit R Bhattacharyya
Mar 18, 2008·Archives of Gynecology and Obstetrics·Ali GedikbasiYavuz Ceylan
May 20, 2008·BJOG : an International Journal of Obstetrics and Gynaecology·J J ZwartJ van Roosmalen
Oct 20, 2010·Acta Obstetricia Et Gynecologica Scandinavica·Jeroen van DillenJos van Roosmalen
Mar 8, 2012·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·Roy KessousEyal Sheiner
Aug 28, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Ishai LevinBenny Almog
Jun 12, 2013·Journal of Perinatal Medicine·Shiri ShinarAriel Many
Feb 4, 2014·Archives of Gynecology and Obstetrics·Eran AshwalYoav Peled
Aug 26, 2014·BMC Pregnancy and Childbirth·Wei DengElina Hemminki
Oct 21, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·G Ramires de JesusG Lobato
Apr 14, 2015·The Lancet Global Health·Joshua P VogelUNKNOWN WHO Multi-Country Survey on Maternal and Newborn Health Research Network

❮ Previous
Next ❯

Citations

Nov 12, 2019·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E KalafatA Khalil
Jul 28, 2020·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·R Douglas Wilson

❮ Previous
Next ❯

Methods Mentioned

BETA
cesarean section
hysterectomy
cesarean sections

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved