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Maternal outcomes associated with planned vaginal versus planned primary cesarean delivery.

Publication ,  Journal Article
Geller, EJ; Wu, JM; Jannelli, ML; Nguyen, TV; Visco, AG
Published in: Am J Perinatol
October 2010

We compared maternal morbidity between planned vaginal and planned cesarean delivery. A university hospital's database was queried for delivery outcomes. Between 1995 and 2005, 26,356 deliveries occurred. Subjects were divided into two groups: planned vaginal and planned cesarean delivery. This was based on intent to deliver vaginally or by cesarean, despite actual route of delivery. Planned vaginal delivery included successful vaginal delivery and labored cesarean delivery intended for vaginal delivery. Planned cesarean delivery included unlabored and labored cesarean delivery and vaginal delivery intended for cesarean. Chart abstraction confirmed the delivery plan. Primary outcomes were chorioamnionitis, postpartum hemorrhage, and transfusion. Secondary outcomes were also measured. A subanalysis compared actual vaginal delivery, labored cesarean delivery, and unlabored cesarean delivery. There were 3868 planned vaginal deliveries and 180 planned cesarean deliveries. Planned cesarean delivery had less chorioamnionitis (2.2% versus 17.2%), postpartum hemorrhage (1.1% versus 6.0%), uterine atony (0.6% versus 6.4%), and prolonged rupture of membranes (2.2% versus 17.5%) but a longer hospital stay (3.2 versus 2.6 days). There were no differences in transfusion rates. For healthy primiparous women, planned cesarean delivery decreases certain morbidities. Labored cesarean delivery had increased risks compared with both vaginal delivery and unlabored cesarean delivery.

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Published In

Am J Perinatol

DOI

EISSN

1098-8785

Publication Date

October 2010

Volume

27

Issue

9

Start / End Page

675 / 683

Location

United States

Related Subject Headings

  • Uterine Inertia
  • Retrospective Studies
  • Pregnancy Outcome
  • Pregnancy
  • Postpartum Hemorrhage
  • Patient Care Planning
  • Obstetrics & Reproductive Medicine
  • Obstetric Labor Complications
  • Natural Childbirth
  • Logistic Models
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Geller, E. J., Wu, J. M., Jannelli, M. L., Nguyen, T. V., & Visco, A. G. (2010). Maternal outcomes associated with planned vaginal versus planned primary cesarean delivery. Am J Perinatol, 27(9), 675–683. https://doi.org/10.1055/s-0030-1249765
Geller, Elizabeth J., Jennifer M. Wu, Mary L. Jannelli, Thao V. Nguyen, and Anthony G. Visco. “Maternal outcomes associated with planned vaginal versus planned primary cesarean delivery.Am J Perinatol 27, no. 9 (October 2010): 675–83. https://doi.org/10.1055/s-0030-1249765.
Geller EJ, Wu JM, Jannelli ML, Nguyen TV, Visco AG. Maternal outcomes associated with planned vaginal versus planned primary cesarean delivery. Am J Perinatol. 2010 Oct;27(9):675–83.
Geller, Elizabeth J., et al. “Maternal outcomes associated with planned vaginal versus planned primary cesarean delivery.Am J Perinatol, vol. 27, no. 9, Oct. 2010, pp. 675–83. Pubmed, doi:10.1055/s-0030-1249765.
Geller EJ, Wu JM, Jannelli ML, Nguyen TV, Visco AG. Maternal outcomes associated with planned vaginal versus planned primary cesarean delivery. Am J Perinatol. 2010 Oct;27(9):675–683.
Journal cover image

Published In

Am J Perinatol

DOI

EISSN

1098-8785

Publication Date

October 2010

Volume

27

Issue

9

Start / End Page

675 / 683

Location

United States

Related Subject Headings

  • Uterine Inertia
  • Retrospective Studies
  • Pregnancy Outcome
  • Pregnancy
  • Postpartum Hemorrhage
  • Patient Care Planning
  • Obstetrics & Reproductive Medicine
  • Obstetric Labor Complications
  • Natural Childbirth
  • Logistic Models