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Vaginal, cesarean deliveries result in same trauma rate, but nature of events varies.(Obstetrics)

OB GYN News

| June 01, 2005 | Johnson, Kate | COPYRIGHT 2005 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

SAN FRANCISCO -- Birth trauma occurs at the same rate in vaginal and cesarean deliveries, but the nature of the trauma is different, according to data presented at the annual meeting of the American College of Obstetricians and Gynecologists.

Study investigators were not able to distinguish between planned cesarean deliveries and cesarean deliveries that resulted from a failed trial of labor, however.

"The group we have to pay particular attention to is women who had a failed attempt at delivery and then had a C-section. That's probably the highest risk group and may actually be contributing to the trauma in the C-section group. But we couldn't look at this, so we can't tell the whole story with this research, said Susan Meikle, M.D., who is lead investigator of the study and works at the Agency for Healthcare Research and Quality (AHRQ), located in Rockville, Md.

The AHRQ is mandated by Congress to produce an annual National Healthcare Quality Report that compiles health care data on patient safety. The report also defines adverse events that could be preventable. This portion of the report focuses on the risks for birth trauma.

Birth trauma data were identified using discharge data from 995 nonfederal hospitals located in 35 states and were then compared with data on infants without birth trauma. The data were analyzed by mode of delivery, clinical characteristics, demographics, and hospital characteristics.

The rate of birth trauma among more than 4,000,000 neonates was about 7 per ...

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Source: HighBeam Research, Vaginal, cesarean deliveries result in same trauma rate, but nature...

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