umu.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
The effects of previous cesarean deliveries on severe maternal and adverse perinatal outcomes at a university hospital in Tanzania
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
Visa övriga samt affilieringar
2016 (Engelska)Ingår i: International Journal of Gynecology & Obstetrics, ISSN 0020-7292, E-ISSN 1879-3479, Vol. 133, nr 2, s. 183-187Artikel i tidskrift (Refereegranskat) Published
Resurstyp
Text
Abstract [en]

Objective: To investigate if multiparous individuals who had undergone a previous cesarean delivery experienced an increased risk of severe maternal outcomes or adverse perinatal outcomes compared with multiparous individuals who had undergone previous vaginal deliveries. Methods: An analytical cross-sectional study at a university hospital in Dar es Salaam, Tanzania, enrolled multiparous participants of at least 28 weeks of pregnancy between February 1 and June 30, 2012. Data were collected from patients' medical records and the hospital's obstetric database. Odds ratios (OR) and 95% confidence intervals (Cl) were calculated to compare outcomes among patients who had or had not undergone previous cesarean deliveries. Results: A total of 2478 patients were enrolled. A previous cesarean delivery resulted in no increase in the risk of severe maternal outcomes (OR0.86, 95% CI 0.58-1.26; P = 0.46), and decreased risk of stillbirth (OR 0.42, 95% CI 0.29-0.62, P < 0.001), and intrapartum stillbirth and neonatal distress (OR 0.58, 95% CI 038-0.87, P = 0.007). Conclusion: Previous cesarean delivery was not a risk factor for severe maternal outcomes or adverse perinatal outcomes. The present study was conducted at a referral institution, where individuals with previous cesarean deliveries may constitute a healthy group. Additionally, there could be differences between the study groups in terms of healthcare-seeking behavior, referral mechanisms, intrapartum monitoring, and clinical decision making.

Ort, förlag, år, upplaga, sidor
2016. Vol. 133, nr 2, s. 183-187
Nyckelord [en]
Cesarean section, Low-income countries, Maternal near-miss, Previous scar, Tanzania
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Reproduktionsmedicin och gynekologi
Identifikatorer
URN: urn:nbn:se:umu:diva-123376DOI: 10.1016/j.ijgo.2015.10.009ISI: 000375739500012PubMedID: 26868073OAI: oai:DiVA.org:umu-123376DiVA, id: diva2:946171
Tillgänglig från: 2016-07-04 Skapad: 2016-07-01 Senast uppdaterad: 2018-06-07Bibliografiskt granskad

Open Access i DiVA

fulltext(754 kB)229 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 754 kBChecksumma SHA-512
305576619c07874fd79fe95475555e6755c76536e9931be948fd4aa5a90ca1b519f0c35ef48aac066e3e034389372c1e6c19c7e4fe9e4eac592b15b0b16e5c6d
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextPubMed

Personposter BETA

Nyström, Lennarth

Sök vidare i DiVA

Av författaren/redaktören
Nyström, Lennarth
Av organisationen
Epidemiologi och global hälsa
I samma tidskrift
International Journal of Gynecology & Obstetrics
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologiReproduktionsmedicin och gynekologi

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 229 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 123 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf