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- Larsson, CharlottaUmeå universitet,Kirurgi,Department of Surgical and Perioperative Sciences, Umeå University Hospital and Östersund Hospital, Östersund, Sweden (författare)
Surgical complications after caesarean section : A population-based cohort study
- Artikel/kapitelEngelska2021
Förlag, utgivningsår, omfång ...
- 2021-10-05
- Public Library of Science,2021
- electronicrdacarrier
Nummerbeteckningar
- LIBRIS-ID:oai:DiVA.org:umu-188981
- https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-188981URI
- https://doi.org/10.1371/journal.pone.0258222DOI
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- Språk:engelska
- Sammanfattning på:engelska
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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.
Ämnesord och genrebeteckningar
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
- Multidisciplinary
Biuppslag (personer, institutioner, konferenser, titlar ...)
- Djuvfelt, ElinÖstersund Hospital, Östersund, Sweden (författare)
- Lindam, Anna,PhD,1978-Umeå universitet,Allmänmedicin,Östersund Hospital, Östersund, Sweden(Swepub:umu)anli2684 (författare)
- Tunón, KatarinaDepartment of Clinical Science, Obstetrics and Gynaecology, Umeå University Hospital, Umeå, Sweden (författare)
- Nordin, PärUmeå universitet,Kirurgi,Department of Surgical and Perioperative Sciences, Umeå University Hospital and Östersund Hospital, Östersund, Sweden (författare)
- Umeå universitetKirurgi (creator_code:org_t)
Sammanhörande titlar
- Ingår i:PLOS ONE: Public Library of Science16:101932-6203
Internetlänk
- https://doi.org/10.1371/journal.pone.0258222Fulltext
- https://umu.diva-portal.org/smash/get/diva2:1606976/FULLTEXT01.pdffulltext:print
- https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0258222&type=printable
- https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-188981
- https://doi.org/10.1371/journal.pone.0258222
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