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Trial of Labor, Repeat C-Section Equally Hazardous.
RENO, NEV. -- Women who chose elective repeat cesarean section and those who failed vaginal birth after cesarean were at similar risk for major operative bladder and bowel injuries in a large retrospective cohort study.
These findings are in sharp contrast to those of several previous investigations, where maternal injury or complications were significantly more common among those electing a trial of labor, Dr. Sally Y. Segel said in a poster presentation at the annual meeting of the Society for Maternal-Fetal Medicine.
The current study, which included 14,309 women with a prior cesarean section delivery, showed that both groups had "approximately the same risk of operative injury," reported Dr. Segel of the University of Pennsylvania, Philadelphia.
A total of 64 cases of bowel and bladder injury were reported. After adjustment for confounding factors on stratified analysis, multiple logistic regression analysis showed an increased adjusted odds ratio for these injuries with ...
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- Cesarean Section: Overview.
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- Reduction of the Risk of Vertically Transmitted HIV by Cesarean Section.
- Magazine article from: Infectious Disease Alert August 15, 1999 700+ words
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...elective" cesarean section was used (i...the onset of labor or rupture of...with elective cesarean section as compared to...to baby during labor contractions...virus deliver by cesarean section within four hours...