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Prior C-section associated with worse outcomes: ICU admission, postpartum infection cited.(News)
RENO, NEV. -- A prior cesarean delivery can have an adverse effect on maternal and neonatal postpartum outcomes in subsequent births, according to a retrospective study of 10,600 live births.
Women who had received a prior cesarean and then did not have a trial of labor in their subsequent delivery were more likely to be admitted to an intensive care unit (odds ratio 4.5), require a blood transfusion (odds ratio 3.1), and be readmitted to the hospital within 30 days (odds ratio 1.7), compared with women who previously had a vaginal birth.
Women with a prior cesarean who had a trial of labor did not have these increased risks. They were, however, more likely to receive aminoglycosides for a postpartum infection (odds ratio 1.8), primary investigator Anna McKeown, M.D., reported at the annual meeting of the Society for Maternal-Fetal Medicine.
Term neonates born to mothers with a prior cesarean were more likely to have prolonged hospitalization, defined as a stay of more than 7 days. That held true for the neonates born with a trial of labor (odds ratio 2.51) and those born with no trial of labor (odds ratio 6.7).
The study was intended to be a preliminary look at what the consequences of elective cesarean might be, said Dr. McKeown of the University of California, Irvine Medical Center, Orange.
The data lacked some enlightening information on the prior cesareans that might have influenced what was seen in the ...
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- Magazine article from: Journal of the American Statistical Association Forbes, Andrew B. Santner, Thomas J. September 1, 1995 700+ words
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Source: HighBeam Research, Prior C-section associated with worse outcomes: ICU admission,...