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Maternal complicati...
Maternal complications in settings where two-thirds of extremely preterm births are delivered by cesarean section
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- Hesselman, Susanne (författare)
- Uppsala universitet,Obstetrik & gynekologi,Centrum för klinisk forskning Dalarna
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- Jonsson, Maria (författare)
- Uppsala universitet,Obstetrik & gynekologi
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- Råssjö, Eva-Britta (författare)
- Uppsala universitet,Centrum för klinisk forskning Dalarna,Ctr Clin Res Dalarna, Falun, Sweden.
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- Windling, Monika (författare)
- Skelleftea Hosp, Dept Obstet & Gynecol, Skelleftea, Sweden.
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- Högberg, Ulf (författare)
- Uppsala universitet,Obstetrik & gynekologi
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(creator_code:org_t)
- 2016-10-21
- 2017
- Engelska.
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Ingår i: Journal of Perinatal Medicine. - : Walter de Gruyter GmbH. - 0300-5577 .- 1619-3997. ; 45:1, s. 121-127
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objective: To investigate the maternal complications associated with cesarean section (CS) in the extremely preterm period according to the gestational week (GW) and to indication of delivery. Study design: This is a retrospective case-referent study with a review of medical records of women who delivered at 22-27 weeks of gestation (n = 647) at two level III units in Sweden. For abdominal delivery, gestational length was stratified into 22-24 (n = 105) and 25-27 (n = 301) weeks. For comparison, data on women who underwent a CS at term were identified in a register-based database. Results: The rate of CS in extremely preterm births was 62.8%. There was no difference in the complication rates, but types of incisions other than the low transverse incision were required more often at 22-24 (18.1%) weeks than at 25-27 GWs (9.6%) (P = 0.02). Major maternal complications occurred in 6.6% compared with 2.1% in the extremely preterm and term CS, respectively (P < 0.01). A maternal indication of extremely preterm CS increased the risk of complications. Conclusions: Almost two-thirds of the births at 22-27 GWs had an abdominal delivery. No increase in short-term morbidity was observed at 22-24 weeks compared to 25-27 weeks. CS performed extremely preterm had more major complications recorded than cesarean at term. The complications are driven by the underlying maternal condition.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Nyckelord
- Cesarean section
- extremely preterm birth
- post-operative complications
- pregnancy complications
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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