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Ghahiri A, Khosravi M. Maternal and neonatal morbidity and mortality rate in caesarean section and vaginal delivery. Adv Biomed Res. 2015;4:193doi: 10.4103/2277-9175.166154.
Ghahiri, A., & Khosravi, M. (2015). Maternal and neonatal morbidity and mortality rate in caesarean section and vaginal delivery. Advanced biomedical research, 4193. https://doi.org/10.4103/2277-9175.166154
Ghahiri, Ataollah, and Khosravi, Mehrnoush. "Maternal and neonatal morbidity and mortality rate in caesarean section and vaginal delivery." Advanced biomedical research vol. 4 (2015): 193. doi: https://doi.org/10.4103/2277-9175.166154
Ghahiri A, Khosravi M. Maternal and neonatal morbidity and mortality rate in caesarean section and vaginal delivery. Adv Biomed Res. 2015 Sep 28;4:193. doi: 10.4103/2277-9175.166154. eCollection 2015. PMID: 26605232; PMCID: PMC4617006.
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Adv Biomed Res. 2015 Sep 28;4:193. doi: 10.4103/2277-9175.166154. eCollection 2015.

Maternal and neonatal morbidity and mortality rate in caesarean section and vaginal delivery.

Advanced biomedical research

Ataollah Ghahiri, Mehrnoush Khosravi

Affiliations

  1. Department of Gynecology, Isfahan University of Medical Sciences, Isfahan, Iran.

PMID: 26605232 PMCID: PMC4617006 DOI: 10.4103/2277-9175.166154

Abstract

BACKGROUND: The cesarean section is one of the most common procedures to prevent health-threatening risks to the mother and infant. Increasing rate of cesarean section attracted the attention of professionals and the overall objective of this study was to determine the frequency of maternal and neonatal morbidity and mortality rates in the two methods of delivery.

MATERIALS AND METHODS: In a comparative cohort study, 300 cases undergoing caesarean section and 300 cases with vaginal delivery were selected in two main hospitals of Isfahan, Iran during 2013 and 2014. Demographic characteristics and factors related to mortality and morbidity of mothers and infants were studied. Mothers were also recruited 6 weeks after delivery to ask for complications. Mothers and infants mortality and morbidity were studied and analyzed by SPSS 22 software.

RESULTS: Follow-up of deliveries up to 1-month after delivery suggested 2 cases of infant death (7%) in vaginal delivery group, while no case of infant death was reported in cesarean delivery group (P = 0.5). Incidence of fever was observed in first 10 days after delivery in 7 cases in the vaginal delivery group and 11 cases in the cesarean delivery group (2.3% vs. 3.7%, P = 0.4).

CONCLUSION: Despite all the benefits of vaginal delivery compared with cesarean section, in many cases, especially in emergency cesarean section delivery can substantially reduce the maternal and neonatal mortality and morbidity. It is recommended to assess the complications of each method in all pregnant women about to give birth, and then decide on the method of delivery.

Keywords: Caesarean section; maternal and neonatal mortality; vaginal delivery

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