作者
Robert M Silver, Mark B Landon, Dwight J Rouse, Kenneth J Leveno, Catherine Y Spong, Elizabeth A Thom, Atef H Moawad, Steve N Caritis, Margaret Harper, Ronald J Wapner, Yoram Sorokin, Menachem Miodovnik, Marshall Carpenter, Alan M Peaceman, Mary J O’Sullivan, Baha Sibai, Oded Langer, John M Thorp, Susan M Ramin, Brian M Mercer, National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network
发表日期
2006/6/1
期刊
Obstetrics & Gynecology
卷号
107
期号
6
页码范围
1226-1232
出版商
LWW
简介
OBJECTIVE: Although repeat cesarean deliveries often are associated with serious morbidity, they account for only a portion of abdominal deliveries and are overlooked when evaluating morbidity. Our objective was to estimate the magnitude of increased maternal morbidity associated with increasing number of cesarean deliveries.
METHODS: Prospective observational cohort of 30,132 women who had cesarean delivery without labor in 19 academic centers over 4 years (1999–2002).
RESULTS: There were 6,201 first (primary), 15,808 second, 6,324 third, 1,452 fourth, 258 fifth, and 89 sixth or more cesarean deliveries. The risks of placenta accreta, cystotomy, bowel injury, ureteral injury, and ileus, the need for postoperative ventilation, intensive care unit admission, hysterectomy, and blood transfusion requiring 4 or more units, and the duration of operative time and hospital stay significantly increased with …
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RM Silver, MB Landon, DJ Rouse, KJ Leveno… - Obstetrics & Gynecology, 2006
