Peripartum complications with cesarean delivery: a review of Maternal-Fetal Medicine Units Network publications

Hammad, Ibrahim; Chauhan, Suneet P.; Magann, Everett F.; Abuhamad, Alfred

doi:10.3109/14767058.2013.818970

Cited by 117 publications

(52 citation statements)

References 67 publications

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“…[9][10][11][12][13][14] Transfusion is an important component of counseling women in decision-making around their next birth after cesarean. 15 Most studies report actual birth method rather than intent, which makes counseling women near term difficult. 13 One review of published VBAC literature found rates of transfusion and hemorrhage did not significantly differ for women who had a trial of vaginal birth compared with an ERCS at the birth after cesarean.…”

Section: Introductionmentioning

confidence: 99%

Blood transfusion following intended vaginal birth after cesarean vs elective repeat cesarean section in women with a prior primary cesarean: A population‐based record linkage study

Pont

Austin

Ibiebele

et al. 2018

Acta Obstet Gynecol Scand

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Introduction:There is a lack of evidence around the risk of transfusion following vaginal birth after cesarean (VBAC) compared with elective repeat cesarean section (ERCS); this is important for decision-making about birth options. The aim of this study was to determine transfusion rates and risk of transfusion following intended VBAC and ERCS. Material and methods: Women with a primary cesarean who had a subsequent birth at term (≥37 weeks) in New South Wales between 2000 and 2012, were identified from the New South Wales Perinatal Data Collection. Blood transfusions were identified from linked hospital records. Women deemed ineligible for VBAC were excluded. Modified Poisson regression was used to determine transfusion risk associated with intended VBAC compared with ERCS. Intended mode of birth was classified as: (1) intended VBAC and vaginal birth, (2) intended VBAC and cesarean, (3) intended ERCS and (4) "intention uncertain".Results: A total of 90 439 women were eligible for VBAC. Rates of transfusion were:1.4% for intended VBAC and vaginal birth (n = 17 849); 1.2% for intended VBAC and cesarean (n = 7648); 0.3% for intended ERCS (n = 60 471); and 1.1% for "intention uncertain" (n = 4471). After adjusting for maternal and pregnancy characteristics, risk of transfusion was almost four times higher for women classified as intended VBAC than intended ERCS (adjusted risk ratio = 3.73, 95% confidence interval 2.90-4.78). Conclusions:Following a prior primary cesarean, there was a higher risk of transfusion associated with attempting VBAC compared with ERCS. Though the absolute risk is small, it is important for women considering VBAC to choose birthing facilities with ready access to blood products. K E Y W O R D S blood transfusion, intended mode of birth, postpartum hemorrhage, primary cesarean, vaginal birth after cesarean | 383 PONT eT al.

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Section: Introductionmentioning

confidence: 99%

Blood transfusion following intended vaginal birth after cesarean vs elective repeat cesarean section in women with a prior primary cesarean: A population‐based record linkage study

Pont

Austin

Ibiebele

et al. 2018

Acta Obstet Gynecol Scand

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“…Any increase in the risk of blood transfusion that results directly from interventions that decrease the NTSV cesarean delivery rate should be considered in the context of the risks and benefits of vaginal delivery compared to primary cesarean delivery; the risk of transfusion with primary cesarean delivery is approximately 2%–4%. 2 …”

Section: Discussionmentioning

confidence: 99%

“…There is an increased risk of hemorrhage, deep vein thrombosis, infection, complications from anesthesia, complications with future pregnancies (uterine rupture and morbidly adherent placenta), and neonatal respiratory problems with cesarean delivery compared to vaginal delivery. 2 Cesarean delivery also is associated with a longer hospital stay and increased cost. 3 Primary cesarean deliveries account for more than half of all cesarean deliveries, and the most common indication for repeat cesarean delivery is previous cesarean delivery.…”

mentioning

confidence: 99%

Quality Improvement Initiatives Lead to Reduction in Nulliparous Term Singleton Vertex Cesarean Delivery Rate

Vadnais¹,

Hacker²,

Shah³

et al. 2017

The Joint Commission Journal on Quality and Patient Safety

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Background The nulliparous term singleton vertex (NTSV) cesarean delivery rate has been recognized as a meaningful benchmark. Variation in the NTSV cesarean delivery rate among hospitals and providers suggests many hospitals may be able to safely improve their rates. The NTSV cesarean delivery rate at the authors’ institution was higher than state and national averages. This study was conducted to determine the influence of a set of quality improvement interventions on the NTSV cesarean delivery rate. Methods From 2008 through 2015, at a single tertiary care academic medical center, a multi-strategy approach that included provider education, provider feedback, and implementation of new policies was used to target evidence-based and inferred factors that influence the NTSV cesarean delivery rate. Data on mode of delivery, maternal outcomes, and neonatal outcomes were collected from birth certificates and administrative claims data. The Cochran-Armitage test and linear regression were used to calculate the p-trend for categorical and continuous variables, respectively. Results More than 20,000 NTSV deliveries were analyzed, including more than 15,000 during the intervention period. The NTSV cesarean delivery rate declined from 35% to 21% over eight years. The total cesarean delivery rate declined as well. Increase in meconium aspiration syndrome and maternal transfusion were observed. Conclusion Quality improvement initiatives can decrease the NTSV cesarean delivery rate. Any increased incidence of fetal or maternal complications associated with decreased NTSV cesarean delivery rate should be considered in the context of the risks and benefits of vaginal delivery compared to cesarean delivery.

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“…Operative vaginal births are associated with higher rates of both maternal and fetal trauma as well as postpartum hemorrhage [30–34]. Cesarean deliveries are associated with a higher rate of hemorrhage, endometritis, venous thromboembolism and longer recovery [35]. These complications happen with greater frequency during emergency cesarean sections [35].…”

Section: Discussionmentioning

confidence: 99%

“…Cesarean deliveries are associated with a higher rate of hemorrhage, endometritis, venous thromboembolism and longer recovery [35]. These complications happen with greater frequency during emergency cesarean sections [35]. In future pregnancies, a primary cesarean section is also associated with higher rates of abnormal placentation, and uterine rupture [36] and is the major indication for a further cesarean section [37–40].…”

Section: Discussionmentioning

confidence: 99%

Maternal Asian ethnicity and obstetric intrapartum intervention: a retrospective cohort study

Reddy

Wallace

Mockler

et al. 2017

BMC Pregnancy Childbirth

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BackgroundMaternal ethnicity is a recognized risk factor for stillbirth, such that South Asian women have higher rates than their Caucasian counterparts. However, whether maternal ethnicity is a risk factor for intrapartum outcomes is less clear. The aim of this study is to explore associations between maternal country of birth, operative vaginal delivery and emergency cesarean section, and to identify possible mechanisms underlying any such associations.MethodsWe performed a retrospective cohort study of singleton term births among South Asian, South East/East Asian and Australian/New Zealand born women at an Australian tertiary hospital in 2009–2013. The association between maternal country of birth, operative vaginal birth and emergency cesarean was assessed using multivariate logistic regression.ResultsOf the 31,932 births, 54% (17,149) were to Australian/New Zealand-born women, 25% (7874) to South Asian, and 22% (6879) to South East/East Asian born women. Compared to Australian/New Zealand women, South Asian and South East/East Asian women had an increased rate of both operative vaginal birth (OR 1.43 [1.30–1.57] and 1.22 [1.11–1.35] respectively, p < 0.001 for both) and emergency cesarean section (OR 1.67 [1.53–1.82] and 1.16 [1.04–1.26] respectively, p < 0.001 and p = 0.007 respectively). While prolonged labor was the predominant reason for cesarean section among Australian/New Zealand and South East/East Asian women, fetal compromise accounted for the majority of operative births in South Asian women.ConclusionSouth Asian and South East/East Asian women experience higher rates of both operative vaginal birth and cesarean section in comparison to Australian/New Zealand women, independent of other risk factors for intrapartum interventions.

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Peripartum complications with cesarean delivery: a review of Maternal-Fetal Medicine Units Network publications

Abstract: Our analysis provides an overview of peripartum M/M with CD; it allows clinicians to counsel women who had or are having CD. It also permits study design, with an appropriate sample size, with the aim to minimize the morbidities.

Cited by 117 publications

References 67 publications

Blood transfusion following intended vaginal birth after cesarean vs elective repeat cesarean section in women with a prior primary cesarean: A population‐based record linkage study

Blood transfusion following intended vaginal birth after cesarean vs elective repeat cesarean section in women with a prior primary cesarean: A population‐based record linkage study

Quality Improvement Initiatives Lead to Reduction in Nulliparous Term Singleton Vertex Cesarean Delivery Rate

Maternal Asian ethnicity and obstetric intrapartum intervention: a retrospective cohort study

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