Surgical complications after caesarean section: A population-based cohort study

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Surgical complications after caesarean section : A population-based cohort study

Larsson, Charlotta (author): Umeå universitet,Kirurgi,Department of Surgical and Perioperative Sciences, Umeå University Hospital and Östersund Hospital, Östersund, Sweden

Djuvfelt, Elin (author): Östersund Hospital, Östersund, Sweden

Lindam, Anna, PhD, 1978- (author): Umeå universitet,Allmänmedicin,Östersund Hospital, Östersund, Sweden

Tunón, Katarina (author): Department of Clinical Science, Obstetrics and Gynaecology, Umeå University Hospital, Umeå, Sweden

Nordin, Pär (author): Umeå universitet,Kirurgi,Department of Surgical and Perioperative Sciences, Umeå University Hospital and Östersund Hospital, Östersund, Sweden

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2021-10-05
2021
English.
In: PLOS ONE. - : Public Library of Science. - 1932-6203. ; 16:10

Related links:: https://doi.org/10.1...; show more...; https://umu.diva-por... (primary) (Raw object); https://journals.plo...; https://urn.kb.se/re...; https://doi.org/10.1...; show less...

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Background The rate of caesarean section without medical indication is rising but the risk for surgical complications has not been fully explored.Methods Altogether 79 052 women from the Swedish Medical Birth Register who delivered by caesarean section only from 2005 through 2016 were identified and compared with a control group of women delivering vaginally only from the same register and the same period of time. By cross-linking data with the National Patient Register the risks for bowel obstruction, incisional hernia and abdominal pain were analysed, as well as risk factors for these complications. We also analysed acute complications, uterine rupture, and placenta praevia.Findings Caesarean section is associated with an increased risk for bowel obstruction (OR 2.92; CI 2.55–3.34), surgery for bowel obstruction (OR 2.12; CI 1.70–2.65), incisional hernia (OR 2.71; CI 2.46–3.00), surgery for incisional hernia (OR 3.35; CI 2.68–4.18), and abdominal pain (OR 1.41; CI 1.38–1.44). Smoking, obesity, and more than one section delivery added significantly to the risk for these complications.Interpretation Caesarean section is considered a safe procedure, but awareness of the risk for serious complications is important when deciding on mode of delivery. In this study, more than one section, obesity and smoking significantly increased the risk for complications after caesarean section. Prevention of smoking and obesity among fertile women worldwide must continue to be a high priority.

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By the author/editor: Larsson, Charlot ...; Djuvfelt, Elin; Lindam, Anna, Ph ...; Tunón, Katarina; Nordin, Pär

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Obstetrics Gynae ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

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Surgical complications after caesarean section : A population-based cohort study

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