Relative Risk of Postpartum Complications in the Ohio Medicaid Population: Vaginal versus Cesarean Delivery  

Oleh:

Koroukian, Siran M.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Medical Care Research and Review vol. 61 no. 2 (Jun. 2004), page 203-224.
Topik: postpartum complications; elective cesarean deliveries; Medicaid; claims data; birth certificate data
Fulltext: 203MCR61.2.pdf (118.79KB)

Isi artikel

The objective of this study was to estimate the relative risk of postpartum complication by type of delivery among Ohio Medicaid beneficiaries. The study uses the linked Medicaid andOhio birth certificate data for births occurring fromJuly 1991 throughApril 1996 (N= 168,736). The results indicate that the incidence of major puerperal infection, thromboembolic events, anesthetic complications, and obstetrical surgical wound infection was higher among women undergoing a C-section as compared to those with vaginal delivery, even after limiting the analysis to elective cesarean deliveries and uncomplicated vaginal deliveries. On the other hand, women with C-sections were less likely to experience obstetrical trauma, and results on postpartum hemorrhage were inconclusive. Aside from obstetrical trauma, the relative risk of postpartum complications remains significantly higher among women undergoing C-section. These findings are of particular relevance in light of the substantial proportion of repeat C-sections performed on an elective basis.

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