Severe maternal morbidity and the mode of delivery
Why the study?
Does cesarean section increase severe maternal morbidity compared to vaginal delivery in singleton pregnancies?
Population
All singleton deliveries in Finland in 1997 and 2002 (n=110,717)
Comparison
Cesarean section (elective and non-elective) vs Vaginal delivery (spontaneous and instrumental)
Design
Cohort
Authors
Discussion
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Member takes
Implication
May warrant caution with cesarean decisions in singletons; leaves open causality and elective-procedure contribution in this observational cohort.
Structured PICO
Does cesarean section increase severe maternal morbidity compared to vaginal delivery in singleton pregnancies?
P
Population
All singleton deliveries in Finland in 1997 and 2002 (n=110,717)
I
Intervention
Cesarean section (elective and non-elective)
C
Comparator
Vaginal delivery (spontaneous and instrumental)
O
Outcome
Severe maternal morbidity (deep venous thromboembolism and amniotic fluid embolism, major puerperal infection, severe hemorrhage, events requiring operative intervention after delivery, uterine rupture and inversion, and intestinal obstruction)composite
Cesarean delivery, including elective procedures, is associated with a significantly higher risk of severe maternal morbidity compared to vaginal delivery.
Cite This Study
Pallasmaa et al. (2008) studied this question.