caa a22 4500 445308060 CHVBK 20180317142619.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00404-010-1450-0 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1450-0 Timing and risk factors of maternal complications of cesarean section [Elektronische Daten] [Eran Hadar, Nir Melamed, Keren Tzadikevitch-Geffen, Yariv Yogev] Objective: To investigate the timing and risk factors of maternal complications of cesarean section (CS). Methods: Review of the files of all women who underwent CS at a tertiary medical center between September 2007 and December 2008 yielded 100 patients with postpartum complications. Their clinical and surgery-related characteristics were compared with 100 women with uncomplicated CS operated in January 2009. Complications were analyzed by prevalence and time of occurrence. Results: The only between-group difference in background factors was a higher rate of obesity (BMI>30) in the controls. The complication rate was 5.7%. The most common complication was endomyometritis (3.6%), followed by wound infection (1.8%) and wound hematoma (1.2%). In most cases, endomyometritis was diagnosed on postoperative days 2-3 and wound complications on days 2-5; 7 of the 9 readmissions occurred on postoperative days 5-6. On multivariate analysis, significant independent predictors of postoperative complications were surgeon experience (OR=2.4, 95% CI 1.2-4.8) and intra-partum CS (OR=2.1, 95% CI 1.1-4.3). Conclusion: Cesarean section performed by a resident or during active labor is associated with an increased risk of postpartum complications. Medical teams should be alert to morbidity in women at risk, particularly during the first 4days after CS. Springer-Verlag, 2010 Cesarean section nationallicence Complications nationallicence Maternal nationallicence Timing nationallicence Risk factors nationallicence Hadar Eran Perinatal Division, Helen Schneider Hospital for Women, Rabin Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Petah-Tiqva, 49100, Tel-Aviv, Israel aut Melamed Nir Perinatal Division, Helen Schneider Hospital for Women, Rabin Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Petah-Tiqva, 49100, Tel-Aviv, Israel aut Tzadikevitch-Geffen Keren Perinatal Division, Helen Schneider Hospital for Women, Rabin Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Petah-Tiqva, 49100, Tel-Aviv, Israel aut Yogev Yariv Perinatal Division, Helen Schneider Hospital for Women, Rabin Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Petah-Tiqva, 49100, Tel-Aviv, Israel aut Archives of Gynecology and Obstetrics Springer-Verlag 283/4(2011-04-01), 735-741 0932-0067 283:4<735 2011 283 404 https://doi.org/10.1007/s00404-010-1450-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1450-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hadar Eran Perinatal Division, Helen Schneider Hospital for Women, Rabin Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Petah-Tiqva, 49100, Tel-Aviv, Israel aut NATIONALLICENCE 700 1- Melamed Nir Perinatal Division, Helen Schneider Hospital for Women, Rabin Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Petah-Tiqva, 49100, Tel-Aviv, Israel aut NATIONALLICENCE 700 1- Tzadikevitch-Geffen Keren Perinatal Division, Helen Schneider Hospital for Women, Rabin Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Petah-Tiqva, 49100, Tel-Aviv, Israel aut NATIONALLICENCE 700 1- Yogev Yariv Perinatal Division, Helen Schneider Hospital for Women, Rabin Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Petah-Tiqva, 49100, Tel-Aviv, Israel aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/4(2011-04-01), 735-741 0932-0067 283:4<735 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer