Association between Method of Delivery and Puerperal Infectious Complications in the Perinatal Database of Baden-Württemberg 1998–2001

Simoes, Elisabeth; Kunz, S; Bosing-Schwenkglenks, M.; Schmahl, F. W.

doi:10.1159/000087208

Cited by 14 publications

(12 citation statements)

References 26 publications

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“…In contrast to the results of most previous studies we found a similar risk of sepsis in elective CS and VD (8, 11), (19), (20). In non‐elective CS sepsis was two to three times more frequent than in VD.…”

Section: Discussioncontrasting

confidence: 99%

“…The indications for cesarean delivery are not known and may add an additional risk to the procedure. In several studies comparing elective CS to VD, women with pre‐existing medical disorder or a risk factor such as pre‐eclampsia, hemorrhage before the onset of labor, and delivery before 37 gestational weeks have been excluded from analysis, but the results are still in line with our findings (11–13), (20). Women with severe pre‐eclampsia, placental abruption or severe antepartum hemorrhage, all conditions which include a high risk of severe complications, are often delivered by non‐elective CS, and a VD is not attempted.…”

Section: Discussionsupporting

confidence: 82%

See 1 more Smart Citation

Severe maternal morbidity and the mode of delivery

Pallasmaa

Ekblad

Gissler

2008

Acta Obstet Gynecol Scand

104

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 82%

Severe maternal morbidity and the mode of delivery

Pallasmaa

Ekblad

Gissler

2008

Acta Obstet Gynecol Scand

104

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show abstract

“…The sample was from a community population, with the prevalence of underweight in younger adults less than 5% in the Chinese community population. Among elderly Chinese community dwellers (aged 60 years or above), the prevalence of underweight was lower than 10% [30,31]. Aging was related with changes in body composition (including a decrease of BMI), and this finding was consistent with that of previous reports [13,14,15,16].…”

Section: Discussionsupporting

confidence: 86%

Association between Body Mass Index and Cognitive Function among Chinese Nonagenarians/Centenarians

Zhou

Flaherty

Huang

et al. 2010

Dement Geriatr Cogn Disord

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Aims: We examined the individual association between body mass index (BMI) and cognitive function among the very elderly. Methods: The present study analyzed data from a survey that was conducted on all residents aged 90 years or more from a district which had 2,311,709 inhabitants in 2005. The subjects were divided into 4 groups according to quartiles of BMI (<16.6, 16.6–18.9, 18.9–21.1 and >21.1), and according to classification criteria of underweight, normal weight, overweight and obesity in BMI (<18.5, 18.5–23.0, 23.0–27.5 and >27.5), respectively. Results: The subjects included in the statistical analysis were 211 men and 427 women. Those in the 3rd quartile of BMI (18.9–21.1) had higher cognitive function scores (p < 0.001) and were less likely to present possible dementia (p = 0.016) than the others. However, there was no difference in cognitive function scores (p = 0.350) or prevalence of possible dementia (p = 0.263) among obesity, overweight, normal weight and underweight groups. Conclusions: Concerning longevity in Chinese, there is an association between BMI and cognitive function. BMI of around 20 (18.9–21.1) is associated with the lowest risk of prevalence of possible dementia and the highest cognitive function scores.

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“…Caesarean section is a well-established risk factor to the subsequent development of an abnormal placentation [5], increased prevalence of postpartum fever [6], as well as higher risk of uterine rupture, post-partum hemorrhaging, manual removal of the placenta, infection and admittance to ICU [7]. …”

Section: Introductionmentioning

confidence: 99%

Birth in Brazil: national survey into labour and birth

et al. 2012

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BackgroundCaesarean section rates in Brazil have been steadily increasing. In 2009, for the first time, the number of children born by this type of procedure was greater than the number of vaginal births. Caesarean section is associated with a series of adverse effects on the women and newborn, and recent evidence suggests that the increasing rates of prematurity and low birth weight in Brazil are associated to the increasing rates of Caesarean section and labour induction.MethodsNationwide hospital-based cohort study of postnatal women and their offspring with follow-up at 45 to 60 days after birth. The sample was stratified by geographic macro-region, type of the municipality and by type of hospital governance. The number of postnatal women sampled was 23,940, distributed in 191 municipalities throughout Brazil. Two electronic questionnaires were applied to the postnatal women, one baseline face-to-face and one follow-up telephone interview. Two other questionnaires were filled with information on patients’ medical records and to assess hospital facilities. The primary outcome was the percentage of Caesarean sections (total, elective and according to Robson’s groups). Secondary outcomes were: post-partum pain; breastfeeding initiation; severe/near miss maternal morbidity; reasons for maternal mortality; prematurity; low birth weight; use of oxygen use after birth and mechanical ventilation; admission to neonatal ICU; stillbirths; neonatal mortality; readmission in hospital; use of surfactant; asphyxia; severe/near miss neonatal morbidity. The association between variables were investigated using bivariate, stratified and multivariate model analyses. Statistical tests were applied according to data distribution and homogeneity of variances of groups to be compared. All analyses were taken into consideration for the complex sample design.DiscussionThis study, for the first time, depicts a national panorama of labour and birth outcomes in Brazil. Regardless of the socioeconomic level, demand for Caesarean section appears to be based on the belief that the quality of obstetric care is closely associated to the technology used in labour and birth. Within this context, it was justified to conduct a nationwide study to understand the reasons that lead pregnant women to submit to Caesarean sections and to verify any association between this type of birth and it’s consequences on postnatal health.

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Association between Method of Delivery and Puerperal Infectious Complications in the Perinatal Database of Baden-Württemberg 1998–2001

Cited by 14 publications

References 26 publications

Severe maternal morbidity and the mode of delivery

Severe maternal morbidity and the mode of delivery

Association between Body Mass Index and Cognitive Function among Chinese Nonagenarians/Centenarians

Birth in Brazil: national survey into labour and birth

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