Neonatal outcomes associated with planned vaginal versus planned primary cesarean delivery

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Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term.

BACKGROUND The rate of elective primary cesarean delivery continues to rise, owing in part to the widespread perception that the procedure is of little or no risk to healthy women. METHODS Using the Canadian Institute for Health Information's Discharge Abstract Database, we carried out a retrospective population-based cohort study of all women in Canada (excluding Quebec and Manitoba) who del...

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Breech Presentation at Term; Fetal Outcome in Planned Cesarean Section versus Planned Vaginal Birth

INTRODUCTION The breech presentation occurs when fetal buttocks or 1 lower extremities present into maternal pelvis . Infants born after breech presentation have increased perinatal mor tality and high risk of neonatal 2 complications . The management of breech presentation in term pregnancy is highly controversial. It varies among different institutions or even clinicians 3 in same institution...

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The costs of planned cesarean versus planned vaginal birth in the Term Breech Trial.

BACKGROUND The Term Breech Trial compared the safety of planned cesarean and planned vaginal birth for breech presentations at term. The combined outcome of perinatal or neonatal death and serious neonatal morbidity was found to be significantly lower among babies delivered by planned cesarean section. In this study we conducted a cost analysis of the 2 approaches to breech presentations at del...

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Planned vaginal delivery or planned caesarean delivery in women with extreme obesity.

OBJECTIVE To compare the outcomes of planned vaginal versus planned caesarean delivery in a cohort of extremely obese women (body mass index ≥ 50 kg/m(2)). DESIGN A national cohort study using the UK Obstetric Surveillance System (UKOSS). SETTING All hospitals with consultant-led maternity units in the UK. POPULATION Five hundred and ninety-one extremely obese women delivering in the UK b...

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Maternal morbidity associated with vaginal versus cesarean delivery.

OBJECTIVE To describe postpartum maternal morbidity associated with mode of delivery in term, singleton pregnancies. METHODS The Magee Obstetric Medical and Infant database was examined for the years 1995 to 2000. Patients were grouped into 6 types of delivery mode: spontaneous vaginal delivery, operative vaginal delivery, primary cesarean delivery without trial of labor, primary cesarean del...

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ژورنال

عنوان ژورنال: Journal of Perinatology

سال: 2009

ISSN: 0743-8346,1476-5543

DOI: 10.1038/jp.2009.150