ArticleActa obstetricia et gynecologica Scandinavica2022
Planned cesarean section vs planned vaginal delivery among women without formal medical indication for planned cesarean section: A retrospective cohort study of maternal short-term complications.
Article in Acta obstetricia et gynecologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Efficacy and Clinical Outcomes of mRNA COVID-19 Vaccine in Pregnancy: A Systematic Review and Meta-Analysis.Intervirology · 2024Pooled it
- Efficacy and Safety of Low-Dose versus High-Dose Postoperative Intrathecal Morphine in 62 Women Undergoing Elective Cesarean Section Delivery at Full Term.Medical science monitor : international medical journal of experimental and clinical research · 2023Trial
- Article
- Predictors of a successful external cephalic version: a population-based cohort study.BMC pregnancy and childbirth · 2026Article
- Could Escalated Caesarean Sections Be Viewed as Obstetric Mistreatment?Acta paediatrica (Oslo, Norway : 1992) · 2025Article
- Caesarean section on maternal request - a qualitative study of stakeholders´ views.Reproductive health · 2025Article
- Feasibility of Multiplex Cytokine Profiling in Preterm Labor: Towards Biomarker Discovery.Biology · 2025Article
- Reduction of Noise Levels During Caesarean Births Through Audiovisual Feedback is Associated With Lower Stress Levels for Patients.Birth (Berkeley, Calif.) · 2025Article
- Navigating the choices of decision-making in cesarean sections: medical and personal perspectives from a qualitative study in Iraq.The Pan African medical journal · 2025Article
- The Burden of Deep Vein Thrombosis and Risk Factors in Pregnancy and Postpartum-Mirroring Our Region's Particularities.Journal of clinical medicine · 2024Article
- Caesarean section on maternal request: a qualitative study of conflicts related to shared decision-making and person-centred care in Sweden.Reproductive health · 2024Article
- Mode of delivery alters sensitivity to thermal and chemical stimuli in adult rats: An experimental study.International journal of reproductive biomedicine · 2024Article
- Article
- Making the cut on caesarean section: a logistic regression analysis on factors favouring caesarean sections without medical indication in comparison to spontaneous vaginal birth.BMC pregnancy and childbirth · 2023Article
- Perinatal Care Measures Are Incomplete If They Do Not Assess The Birth Parent-Infant Dyad As A Whole.Health affairs (Project Hope) · 2023Article
- Is There an Age Limit for a Trial of Vaginal Delivery in Nulliparous Women?Journal of clinical medicine · 2023Article
- Planned cesarean section vs planned vaginal delivery among women without formal medical indication for planned cesarean section: A retrospective cohort study of maternal short-term complications.Acta obstetricia et gynecologica Scandinavica · 2022Article
- Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRates of delivery by cesarean section have gradually risen in many parts of the world, and it is regarded as a safe surgical procedure with expanded indications. We assessed maternal complications within 6 weeks postpartum after planned cesarean section and after planned vaginal delivery among patients without medical indication for cesarean section. MATERIAL AND
methodsThis was a retrospective cohort study based on Swedish national registers and included 714 326 deliveries from 2008 to 2017. The study group consisted of cephalic, singleton, term pregnancies and excluded those with previous cesarean or pregnancy conditions that would qualify for cesarean section. We compared the risks of short-term complications between planned cesarean section and planned vaginal delivery. We obtained adjusted risk ratios (ARRs) using modified Poisson regression models adjusting for maternal age, parity, body mass index, smoking, country of birth, and county.
resultsThe outcomes studied were infections and thromboembolism. In the planned cesarean section group (n = 22 855), 15% had a postpartum infection compared with 10% in the planned vaginal group (n = 691 471) (ARR 1.6; 95% confidence interval [CI] 1.5-1.6), and 0.08% vs 0.05% had a postpartum pulmonary embolism (ARR 1.7; 95% CI 1.0-2.6). The obtained risk estimates corresponded to "number needed to harm" estimates of 17 and 3448, respectively. When dividing the infections into subgroups, the risk of endometritis (ARR 1.2; 95% CI 1.1-1.3), wound infection (ARR 2.7; 95% CI 2.4-3.0), urinary tract infection (ARR 1.5; 95% CI 1.3-1.7), and mastitis (ARR 2.0; 1.9-2.2) was higher after planned cesarean section.
conclusionsAmong patients without medical indication for planned cesarean section, the risks of short-term maternal complications were higher with planned cesarean section than with planned vaginal delivery.
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