caa a22 4500 445306629 CHVBK 20180317142615.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00404-010-1525-y doi (NATIONALLICENCE)springer-10.1007/s00404-010-1525-y Influence of the mode of delivery on maternal and neonatal outcomes: a comparison between elective cesarean section and planned vaginal delivery in a low-risk obstetric population [Elektronische Daten] [Klaus Bodner, Franz Wierrani, Werner Grünberger, Barbara Bodner-Adler] Objective: The aim of the study was to compare the maternal and neonatal morbidity associated with elective cesarean sections with planned vaginal delivery. Methods: A total of 178 women with elective cesarean section were compared with the next parity- and age-matched women presenting in spontaneous labor. Our analysis was restricted to a sample of low-risk obstetrical women. Maternal and neonatal outcomes were the main outcome variables of interest. Maternal morbidity outcome variables included wound infection, trauma, puerperal febrile morbidity and significant blood loss (>500ml). Neonatal outcomes were captured by Apgar scores, cord pH as well as the occurrence of neonatal infections. Results: A significantly higher rate of puerperal febrile morbidity (n=46 vs. 14, p=0.0001) and wound infections (n=16 vs. 2, p=0.0001) could be detected in the elective cesarean section group. Additionally, a significant blood loss>500ml was more than twice as frequent in the cesarean section group (n=22 vs. 10, p=0.03) with non-significant lower postpartum hemoglobin levels being observed (10.4 vs. 11.2g/dL, p>0.05). A significant increase for the use of iron supplementation (n=146 vs. 122, p=0.002), analgesics (n=168 vs. 60, p=0.0001) and antibiotics (n=48 vs. 18, p=0.0001) could be found in the puerperal period and hospital admission was prolonged in elective cesarean section (6.8 vs. 3.5days, p=0.0001). Additionally, problems in breastfeeding occurred more frequently in this group (n=18 vs. 4, p=0.002). Neonatal complications were generally low in both the groups with no significant differences being observed (p>0.05). Conclusion: The increased maternal morbidity in elective cesarean section included puerperal febrile morbidity, wound infections as well as breastfeeding problems in the postpartum period. Women should be sufficiently counseled regarding the increased risk of these complications. Springer-Verlag, 2010 Elective cesarean section nationallicence Spontaneous onset of labor nationallicence Planned vaginal delivery nationallicence Maternal and neonatal morbidity nationallicence Bodner Klaus Department of Gynecology and Obstetrics, Hospital Rudolfstiftung, Vienna, Austria aut Wierrani Franz Department of Gynecology and Obstetrics, Hospital Rudolfstiftung, Vienna, Austria aut Grünberger Werner Department of Gynecology and Obstetrics, Hospital Rudolfstiftung, Vienna, Austria aut Bodner-Adler Barbara Department of Gynecology and Obstetrics, Al Ain Hospital, Al Ain, United Arab Emirates aut Archives of Gynecology and Obstetrics Springer-Verlag 283/6(2011-06-01), 1193-1198 0932-0067 283:6<1193 2011 283 404 https://doi.org/10.1007/s00404-010-1525-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1525-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bodner Klaus Department of Gynecology and Obstetrics, Hospital Rudolfstiftung, Vienna, Austria aut NATIONALLICENCE 700 1- Wierrani Franz Department of Gynecology and Obstetrics, Hospital Rudolfstiftung, Vienna, Austria aut NATIONALLICENCE 700 1- Grünberger Werner Department of Gynecology and Obstetrics, Hospital Rudolfstiftung, Vienna, Austria aut NATIONALLICENCE 700 1- Bodner-Adler Barbara Department of Gynecology and Obstetrics, Al Ain Hospital, Al Ain, United Arab Emirates aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/6(2011-06-01), 1193-1198 0932-0067 283:6<1193 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer