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Maternal mortality and the rising cesarean rate

2011; Elsevier BV; Volume: 116; Issue: 2 Linguagem: Inglês

10.1016/j.ijgo.2011.09.024

1879-3479

Vicky O’Dwyer, Jennifer Hogan, Nadine Farah, Máiréad Kennelly, Christopher Fitzpatrick, Michael J. Turner,

Global Maternal and Child Health

International Journal of Gynecology & ObstetricsVolume 116, Issue 2 p. 162-164 Clinical article Maternal mortality and the rising cesarean rate Vicky O'Dwyer, Corresponding Author Vicky O'Dwyer [email protected] UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandCorresponding author at: UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin 8, Ireland. Tel.: + 353 1 4085760; fax: + 353 1 4085786.Search for more papers by this authorJennifer L. Hogan, Jennifer L. Hogan UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorNadine Farah, Nadine Farah UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorMairead M. Kennelly, Mairead M. Kennelly UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorChristopher Fitzpatrick, Christopher Fitzpatrick UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorMichael J. Turner, Michael J. Turner UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this author Vicky O'Dwyer, Corresponding Author Vicky O'Dwyer [email protected] UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandCorresponding author at: UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin 8, Ireland. Tel.: + 353 1 4085760; fax: + 353 1 4085786.Search for more papers by this authorJennifer L. Hogan, Jennifer L. Hogan UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorNadine Farah, Nadine Farah UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorMairead M. Kennelly, Mairead M. Kennelly UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorChristopher Fitzpatrick, Christopher Fitzpatrick UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorMichael J. Turner, Michael J. Turner UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this author First published: 26 November 2011 https://doi.org/10.1016/j.ijgo.2011.09.024Citations: 12Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Objective To review maternal mortality in a large stand-alone maternity hospital in a European city and to determine whether the increased cesarean rate was associated with an increase in maternal deaths. Methods The details of maternal deaths at Coombe Women and Infants University Hospital, Dublin, Ireland, as published in the hospital's Annual Clinical Reports for 1995–2009, were reviewed. Maternal mortality ratio was defined as the number of maternal deaths per 100 000 live births. Results Over 15 years, 112 326 women delivered 114 170 infants weighing at least 500 g. The cesarean rate increased from 14.1% in 1995 to 26.5% in 2009 (20.0% overall). The maternal mortality ratio was low at 2.7 per 100 000 live births. There were 2 maternal deaths following cesarean, neither of which was attributable to the operation. Conclusion In Ireland, a large stand-alone maternity hospital can achieve a low maternal mortality ratio, according to international standards, despite an increase in cesarean rate over the past 2 decades. There was no evidence that the increased cesarean rate had an adverse impact on maternal mortality ratio. Citing Literature Volume116, Issue2February 2012Pages 162-164 RelatedInformation