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Maternal and infant outcome after caesarean section without recorded medical indication: Findings from a Swedish case-control study
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.ORCID iD: 0000-0001-6985-6729
2013 (English)In: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, E-ISSN 1471-0528, Vol. 120, no 4, 479-486 p.Article in journal (Refereed) Published
Abstract [en]

Objective To compare maternal complications and infant outcomes for women undergoing elective caesarean sections based on a maternal request and without recorded medical indication with those of women who underwent spontaneous onset of labour with the intention to have a vaginal birth. Design Retrospective register study. Setting Sweden; Medical Birth Register used for data collection. Methods A case-control study of 5877 birth records of women undergoing caesarean sections without medical indication and a control group of 13 774 women undergoing births through spontaneous onset of labour. The control group was further divided into women who actually had a vaginal birth and women who ended up with an emergency caesarean section. Results Maternal complications occurred more frequently among women undergoing caesarean section with odds ratios (OR) for bleeding complications of 2.5 (95% CI 2.1-3.0) in the elective caesarean group and 2.0 (95% CI 1.5-2.6) in the emergency caesarean group. The OR for infections was 2.6 in both groups. Breastfeeding complications were most common in women having an elective caesarean section: 6.8 (95% CI 3.2-14.5). Infant outcomes showed a higher incidence of respiratory distress with an OR of 2.7 (95% CI 1.8-3.9) in the elective caesarean section group compared with infants born by emergency caesarean section. The risk of hypoglycaemia was at least twice as high for infants in the caesarean group. Conclusions Caesarean sections without medical indication as well as emergency caesarean sections were associated with higher risks for maternal and infant morbidity.

Place, publisher, year, edition, pages
2013. Vol. 120, no 4, 479-486 p.
Keyword [en]
Caesarean section on maternal request, maternal and infant outcome, register study
National Category
Nursing Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:miun:diva-18553DOI: 10.1111/1471-0528.12129ISI: 000314975000013Scopus ID: 2-s2.0-84873743363OAI: oai:DiVA.org:miun-18553DiVA: diva2:608849
Note

CODEN: BIOGF

Available from: 2013-03-01 Created: 2013-03-01 Last updated: 2013-11-25Bibliographically approved

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Karlström, AnnikaHildingsson, Ingegerd
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Citation style
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