Relative risk of postpartum complications in the Ohio Medicaid population: Vaginal versus Cesarean delivery
Relative risk of postpartum complications in the Ohio Medicaid population: Vaginal versus Cesarean delivery
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DOI：
10.1177/1077558703260123
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发表时间：
2004-06-01
影响因子：
2.5
通讯作者：
Koroukian, SM
中科院分区：
文献类型：
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作者：
Koroukian, SM
这项研究的目的是评估俄亥俄州医疗补助受益人中按分娩类型划分的产后并发症的相对风险。这项研究使用了1991年7月至1996年4月出生的相关医疗补助和俄亥俄州出生证明数据(N=168,736)。结果表明，与阴道分娩的妇女相比，剖腹产妇女的主要产后感染、血栓栓子事件、麻醉并发症和产科手术伤口感染的发生率更高，即使在将分析限制在选择性剖宫产和不复杂的阴道分娩后也是如此。另一方面，剖腹产的妇女不太可能经历产科创伤，而且关于产后出血的结果也不确定。除了产科创伤，在接受剖腹产的妇女中，产后并发症的相对风险仍然显著更高。鉴于择期重复剖腹产的比例很大，这些研究结果具有特别重要的意义。
The objective of this study was to estimate the relative risk of postpartum complication by type of delivery among Ohio Medicaid beneficiaries. The study uses the linked Medicaid and Ohio birth certificate data for births occurring from July 1991 through April 1996 (N = 168,736). The results indicate that the incidence of major puerperal infection, thromboembolic events, anesthetic complications, and obstetrical surgical wound infection was higher among women under going a C-section as compared to those with vaginal delivery, even after limiting the analysis to elective cesarean deliveries and uncomplicated vaginal deliveries. On the other hand, women with C-sections were less likely to experience obstetrical trauma, and results on postpartum hemorrhage were inconclusive. Aside from obstetrical trauma, the relative risk of postpartum complications remains significantly higher among women undergoing C-section. These findings are of particular relevance in light of the substantial proportion of repeat C-sections performed on an elective basis.