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Anesthetic management as a risk factor for postpartum hemorrhage after cesarean deliveries

2011; Elsevier BV; Volume: 205; Issue: 5 Linguagem: Inglês

10.1016/j.ajog.2011.06.068

1097-6868

Chuen‐Chau Chang, I-Te Wang, Yi‐Hua Chen, Herng‐Ching Lin,

Maternal and Perinatal Health Interventions

Objective This population-based study aimed to compare the risk of postpartum hemorrhage (PPH) for patients who underwent cesarean section delivery (CS) with general vs spinal/epidural anesthesia. Study Design We identified 67,328 women who had live singleton births by CS by linking the Taiwan National Health Insurance Research Dataset and the national birth certificate registry. Multivariate logistic regression was carried out to explore the relationship between anesthetic management type and PPH. Results Women who received general anesthesia had a higher rate of PPH than women who received epidural anesthesia (5.1% vs 0.4%). The odds of PPH in women who had CS with general anesthesia were 8.15 times higher (95% confidence interval, 6.43–10.33) than for those who had CS with epidural anesthesia, after adjustment was made for the maternal and fetal characteristics. Conclusion The odds that women will experience cesarean PPH with general anesthesia are approximately 8.15 times higher than for women who undergo CS with epidural anesthesia. This population-based study aimed to compare the risk of postpartum hemorrhage (PPH) for patients who underwent cesarean section delivery (CS) with general vs spinal/epidural anesthesia. We identified 67,328 women who had live singleton births by CS by linking the Taiwan National Health Insurance Research Dataset and the national birth certificate registry. Multivariate logistic regression was carried out to explore the relationship between anesthetic management type and PPH. Women who received general anesthesia had a higher rate of PPH than women who received epidural anesthesia (5.1% vs 0.4%). The odds of PPH in women who had CS with general anesthesia were 8.15 times higher (95% confidence interval, 6.43–10.33) than for those who had CS with epidural anesthesia, after adjustment was made for the maternal and fetal characteristics. The odds that women will experience cesarean PPH with general anesthesia are approximately 8.15 times higher than for women who undergo CS with epidural anesthesia.