Surgical complications after caesarean section: A population-based cohort study.

<h4>Background</h4>The rate of caesarean section without medical indication is rising but the risk for surgical complications has not been fully explored.<h4>Methods</h4>Altogether 79 052 women from the Swedish Medical Birth Register who delivered by caesarean section only fr...

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Autores principales:	Charlotta Larsson, Elin Djuvfelt, Anna Lindam, Katarina Tunón, Pär Nordin
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/00b1f138a72542fbbbc4091c50347fc8
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spelling	oai:doaj.org-article:00b1f138a72542fbbbc4091c50347fc82021-12-02T20:13:49ZSurgical complications after caesarean section: A population-based cohort study.1932-620310.1371/journal.pone.0258222https://doaj.org/article/00b1f138a72542fbbbc4091c50347fc82021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258222https://doaj.org/toc/1932-6203<h4>Background</h4>The rate of caesarean section without medical indication is rising but the risk for surgical complications has not been fully explored.<h4>Methods</h4>Altogether 79 052 women from the Swedish Medical Birth Register who delivered by caesarean section only from 2005 through 2016 were identified and compared with a control group of women delivering vaginally only from the same register and the same period of time. By cross-linking data with the National Patient Register the risks for bowel obstruction, incisional hernia and abdominal pain were analysed, as well as risk factors for these complications. We also analysed acute complications, uterine rupture, and placenta praevia.<h4>Findings</h4>Caesarean section is associated with an increased risk for bowel obstruction (OR 2.92; CI 2.55-3.34), surgery for bowel obstruction (OR 2.12; CI 1.70-2.65), incisional hernia (OR 2.71; CI 2.46-3.00), surgery for incisional hernia (OR 3.35; CI 2.68-4.18), and abdominal pain (OR 1.41; CI 1.38-1.44). Smoking, obesity, and more than one section delivery added significantly to the risk for these complications.<h4>Interpretation</h4>Caesarean section is considered a safe procedure, but awareness of the risk for serious complications is important when deciding on mode of delivery. In this study, more than one section, obesity and smoking significantly increased the risk for complications after caesarean section. Prevention of smoking and obesity among fertile women worldwide must continue to be a high priority.Charlotta LarssonElin DjuvfeltAnna LindamKatarina TunónPär NordinPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258222 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Charlotta Larsson Elin Djuvfelt Anna Lindam Katarina Tunón Pär Nordin Surgical complications after caesarean section: A population-based cohort study.
description	<h4>Background</h4>The rate of caesarean section without medical indication is rising but the risk for surgical complications has not been fully explored.<h4>Methods</h4>Altogether 79 052 women from the Swedish Medical Birth Register who delivered by caesarean section only from 2005 through 2016 were identified and compared with a control group of women delivering vaginally only from the same register and the same period of time. By cross-linking data with the National Patient Register the risks for bowel obstruction, incisional hernia and abdominal pain were analysed, as well as risk factors for these complications. We also analysed acute complications, uterine rupture, and placenta praevia.<h4>Findings</h4>Caesarean section is associated with an increased risk for bowel obstruction (OR 2.92; CI 2.55-3.34), surgery for bowel obstruction (OR 2.12; CI 1.70-2.65), incisional hernia (OR 2.71; CI 2.46-3.00), surgery for incisional hernia (OR 3.35; CI 2.68-4.18), and abdominal pain (OR 1.41; CI 1.38-1.44). Smoking, obesity, and more than one section delivery added significantly to the risk for these complications.<h4>Interpretation</h4>Caesarean section is considered a safe procedure, but awareness of the risk for serious complications is important when deciding on mode of delivery. In this study, more than one section, obesity and smoking significantly increased the risk for complications after caesarean section. Prevention of smoking and obesity among fertile women worldwide must continue to be a high priority.
format	article
author	Charlotta Larsson Elin Djuvfelt Anna Lindam Katarina Tunón Pär Nordin
author_facet	Charlotta Larsson Elin Djuvfelt Anna Lindam Katarina Tunón Pär Nordin
author_sort	Charlotta Larsson
title	Surgical complications after caesarean section: A population-based cohort study.
title_short	Surgical complications after caesarean section: A population-based cohort study.
title_full	Surgical complications after caesarean section: A population-based cohort study.
title_fullStr	Surgical complications after caesarean section: A population-based cohort study.
title_full_unstemmed	Surgical complications after caesarean section: A population-based cohort study.
title_sort	surgical complications after caesarean section: a population-based cohort study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/00b1f138a72542fbbbc4091c50347fc8
work_keys_str_mv	AT charlottalarsson surgicalcomplicationsaftercaesareansectionapopulationbasedcohortstudy AT elindjuvfelt surgicalcomplicationsaftercaesareansectionapopulationbasedcohortstudy AT annalindam surgicalcomplicationsaftercaesareansectionapopulationbasedcohortstudy AT katarinatunon surgicalcomplicationsaftercaesareansectionapopulationbasedcohortstudy AT parnordin surgicalcomplicationsaftercaesareansectionapopulationbasedcohortstudy
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Surgical complications after caesarean section: A population-based cohort study.

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