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Table 1 Incidence of outcomes (individual and composite) by mode of delivery

From: Risk-adjusted operative delivery rates and maternal-neonatal outcomes as measures of quality assessment in obstetric care: a multicenter prospective study

 

Overall

SVD

CD

AVD

n = 15,189

n = 10,410

n = 3,638

n = 1,141

Maternal complications

n (%)

n (%)

n (%)

n (%)

Major PPH

61 (0.40)

30 (0.29)

20 (0.55)

11 (0.96)

Hysterectomy

8 (0.05)

3 (0.03)

5 (0.14)

0 (0.00)

Wound hematoma

49 (0.32)

30 (0.29)

9 (0.25)

10 (0.88)

TED

6 (0.04)

2 (0.02)

3 (0.08)

1 (0.09)

Uterine rupture

2 (0.01)

0 (0.00)

2 (0.05)

0 (0.00)

Life threatening composite

111 (0.73)

59 (0.57)

32 (0.73)

20 (1.75)

Minor PPH

369 (2.43)

232 (2.23)

90 (2.47)

47 (4.12)

III-IV degree tears

50 (0.33)

39 (0.37)

0 (0.00)

11 (0.96)

Wound Dehiscence

25 (0.16)

12 (0.12)

10 (0.27)

3 (0.26)

Endometritis

69 (0.45)

23 (0.22)

42 (1.15)

4 (0.35)

Bowel/bladder injury

4 (0.03)

0 (0.00)

4 (0.11)

0 (0.00)

Anaesthesiological

7 (0.05)

4 (0.04)

2 (0.05)

1 (0.09)

Other*

19 (0.13)

6 (0.06)

12 (0.33)

1 (0.09)

Non-life threatening composite

485 (3.19)

283 (2.72)

142 (3.90)

60 (5.26)

Overall composite

596 (3.92)

342 (3.29)

174 (4.78)

80 (7.01)

Neonatal complications

n (%)

n (%)

n (%)

n (%)

Mortality <7 days

17 (0.11)

3 (0.03)

13 (0.36)

1 (0.09)

Mortality <28 days

13 (0.09)

4 (0.04)

6 (0.16)

3 (0.26)

Neurologic symptoms

38 (0.25)

6 (0.06)

29 (0.80)

3 (0.26)

Life threatening composite

47 (0.31)

9 (0.09)

33 (0.91)

5 (0.44)

Pulmonary disorders

250 (1.65)

84 (0.81)

156 (4.29)

10 (0.88)

Bacterial infections

98 (0.65)

38 (0.37)

58 (1.59)

2 (0.18)

pH < 7.00

74 (0.49)

25 (0.24)

29 (0.80)

20 (1.75)

BD > 12 mmol/L

204 (1.34)

113 (1.09)

41 (1.13)

50 (4.38)

Apgar < 7

118 (0.78)

37 (0.36)

59 (1.62)

22 (1.93)

Other**

773 (5.09)

284 (2.73)

445 (12.23)

44 (3.86)

Non-life threatening composite

973 (6.41)

416 (4.00)

464 (12.75)

93 (8.15)

Overall composite

1,020 (6.72)

425 (4.08)

497 (13.66)

98 (8.59)

  1. Footnotes: SVD, spontaneous vaginal delivery; AVD, assisted vaginal delivery; CD, caesarean delivery; VD vaginal delivery ; PPH, post-partum hemorrhage; TED, thromboembolic disease; BD, base deficit.
  2. *Any other condition requiring Intensive Care Unit admission.
  3. **Any other condition requiring Neonatal Intensive Care Unit admission in term neonates (37–42 weeks).
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BMC Pregnancy and Childbirth

ISSN: 1471-2393

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