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

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

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

Article/chapterEnglish2021

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2021-10-05
Public Library of Science,2021
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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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Language:English
Summary in:English

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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.

Subject headings and genre

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

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Djuvfelt, ElinÖstersund Hospital, Östersund, Sweden (author)
Lindam, Anna,PhD,1978-Umeå universitet,Allmänmedicin,Östersund Hospital, Östersund, Sweden(Swepub:umu)anli2684 (author)
Tunón, KatarinaDepartment of Clinical Science, Obstetrics and Gynaecology, Umeå University Hospital, Umeå, Sweden (author)
Nordin, PärUmeå universitet,Kirurgi,Department of Surgical and Perioperative Sciences, Umeå University Hospital and Östersund Hospital, Östersund, Sweden (author)
Umeå universitetKirurgi (creator_code:org_t)

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In:PLOS ONE: Public Library of Science16:101932-6203

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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 ...

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