Maternal and perinatal morbidity of caesarean delivery at full cervical dilatation compared with caesarean delivery in the first stage of labour.
To estimate maternal and perinatal morbidity associated with caesarean delivery at full cervical dilatation, a population-based cohort study from 1997 to 2002 was used, which included 1623 nullipara with singleton pregnancies at 37-42 weeks of gestation requiring caesarean delivery in labour. Compared to caesarean delivery at less than full dilatation, women undergoing caesarean delivery at full dilatation were more likely to have complications of intraoperative trauma (RR 2.6, P < 0.001) and infants with perinatal asphyxia (RR 1.5, P < 0.05). There was no difference in maternal or perinatal morbidity when duration of the second stage of labour or when failed assisted vaginal delivery was considered.
Allen
Victoria M
VM
Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia, Canada.
O'Connell
Colleen M
CM
Baskett
Thomas F
TF
D000328:Adult; D001238:Asphyxia Neonatorum / Q000209:etiology; D002585:Cesarean Section / Q000009:adverse effects*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007431:Intraoperative Complications / Q000209:etiology*; D007747:Labor Stage, First; D007744:Obstetric Labor Complications / Q000209:etiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D012044:Regression Analysis