Maternal complications associated with type of delivery in a university hospital

OBJECTIVE: To analyze maternal complications associated to type of delivery, comparing cesarean (c-) section with vaginal delivery. METHODS: Retrospective study of 1,748 deliveries carried out at a university hospital in the city of São Paulo, Southeastern Brazil, in which the newborn weighed more t...

Descripción completa

Detalles Bibliográficos
Autores: Nomura, Roseli Mieko Yamamoto, Alves, Eliane Aparecida, Zugaib, Marcelo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2004
País:Brasil
Institución:Universidade de São Paulo (USP)
Repositorio:Revista de Saúde Pública
Idioma:portugués
OAI Identifier:oai:revistas.usp.br:article/31673
Acceso en línea:https://www.revistas.usp.br/rsp/article/view/31673
Access Level:acceso abierto
Palabra clave:Cesárea
Complicações do trabalho de parto
Parto
Infeccao Puerperal
Complicações puerperais
Cesarean Section
Labor Complications
Parturition
Puerperal infection
Puerperal complications
Descripción
Sumario:OBJECTIVE: To analyze maternal complications associated to type of delivery, comparing cesarean (c-) section with vaginal delivery. METHODS: Retrospective study of 1,748 deliveries carried out at a university hospital in the city of São Paulo, Southeastern Brazil, in which the newborn weighed more than 500 g. Maternal complications occurred during delivery as well as those diagnosed during puerperium that required further hospital admission were analyzed. Statistical analyses included Student's t test and Fisher's Exact test. Significance level was set at 0.05. RESULTS: C-sections were performed on 988 patients (56,5%). Hemorrhagic complications occurred in 1.2% of c-sections and in 0.8% of normal deliveries, with no statistically significant difference between both groups. Endometritis was observed in 0.4% of c-sections and in 0.1% of vaginal deliveries, without statistically significant difference. Two cases of puerperal infection evolved to hysterectomies, in the c-section group. There were no maternal deaths related to c-section. CONCLUSIONS: No associations were found between maternal complications and type of delivery in the period analyzed.