Perinatal and maternal morbidity and mortality among term singletons following midcavity operative vaginal delivery versus caesarean delivery.

ABSTRACT:

Objective

To quantify severe perinatal and maternal morbidity/mortality associated with midcavity operative vaginal delivery compared with caesarean delivery.

Design

Population-based, retrospective cohort study.

Setting

British Columbia, Canada.

Population

Term, singleton deliveries (2004-2014) by attempted midcavity operative vaginal delivery or caesarean delivery in the second stage of labour, stratified by indication for operative delivery (n = 10 901 deliveries; 5057 indicated for dystocia, 5844 for fetal distress).

Methods

Multinomial propensity scores and mulitvariable log-binomial regression models were used to estimate adjusted rate ratios (ARR) and 95% confidence intervals (95% CI).

Main outcome measures

Composite severe perinatal morbidi

SUBMITTER: Muraca GM 

PROVIDER: S-EPMC5947834 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature