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Créée le : 26 Feb 2004
Modifiée le : 02 Dec 2007

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Notice bibliographique (sans auteurs) :

Complications of cesarean deliveries: Rates and risk factors. American Journal of Obstetrics and Gynecology 2004;190(2):428-434.

Auteur·e(s) :

Häger RME, Daltveit AK, Hofoss D, Nilsen ST, Kolaas T, Øian P, Henriksen T.

Année de publication :

2004

URL(s) :

http://www.sciencedirect.com/science?_ob=ArticleUR…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE : The purpose of this study was to determine complication rates after cesarean delivery and to identify independent risk factors for complications.

STUDY DESIGN : In a prospective population-based cohort study in Norway, rates of predefined types of complications from 2751 cesarean deliveries were determined. The complications that were studied were intraoperative complications, blood loss, wound infection, cystitis, endometritis, hematoma, and reoperation. Independent risk factors were identified by stratification and multiple logistic regression analysis.

RESULTS : Altogether, 21.4% of the women had 1 complication. The degree of cervical dilation, general anesthesia, low gestational age, and fetal macrosomia were independent risk factors. For operations that were performed at 9 to 10 cm cervical dilation, the complication rate was 32.6% versus 16.8% at 0 cm (odds ratio, 2.39; 95% CI, 1.77-3.22; P<.001).

CONCLUSION : Cesarean delivery was associated with a high complication rate. Increasing cervical dilation and, in particular, cervical dilation of 9 or 10 cm at the time of operation, general anesthesia, low gestational age, and fetal macrosomia were identified as independent risk factors.

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Mots-clés :

➡ césarienne ; infections ; médecine factuelle ; hémorragie postpartum ; dilatation

Auteur·e de cette fiche :

Cécile Loup — 26 Feb 2004
➡ dernière modification : Bernard Bel — 02 Dec 2007