Abstract | OBJECTIVE: The objective of this study was to determine the risks of severe acute maternal complications associated with cesarean section without medical indication. METHODS: A systematic review was carried out with meta-analysis. The literature search was performed systematically, in multiple stages, in the PubMed, Lilacs, and Web of Science databases using the following descriptors: (postpartum period) and ( cesarean section or natural childbirth) and ((morbidity or mortality) or ( postpartum hemorrhage) or ( puerperal infection) or (surgical infection) or ( puerperal disorders)). The protocol of the study was registered at PROSPERO as CRD42016032933. A total of 1,328 articles were found; after selection, eight publications that met the study objective and inclusion criteria were selected, with information on 1,051,543 individuals. RESULTS: The results obtained in the meta-analyses indicate that women with cesarean section have a higher chance of maternal death (OR = 3.10, 95%CI 1.92-5.00) and postpartum infection (OR = 2.83, 95%CI, 1.585.06), but they have a lower chance of hemorrhage (OR = 0.52, 95%CI 0.48-0.57). For the blood transfusion outcome, the group effect was not associated with the type of delivery (95%CI 0.88-2.81). CONCLUSIONS:
|
Authors | Keila Cristina Mascarello, Bernardo Lessa Horta, Mariângela Freitas Silveira |
Journal | Revista de saude publica
(Rev Saude Publica)
Vol. 51
Pg. 105
( 2017)
ISSN: 1518-8787 [Electronic] Brazil |
PMID | 29166440
(Publication Type: Journal Article, Meta-Analysis, Review, Systematic Review)
|
Topics |
- Blood Transfusion
- Cesarean Section
(adverse effects, statistics & numerical data)
- Female
- Humans
- Maternal Mortality
- Natural Childbirth
(statistics & numerical data)
- Postpartum Hemorrhage
(etiology, mortality)
- Postpartum Period
- Pregnancy
- Pregnancy Outcome
(epidemiology)
- Puerperal Disorders
(epidemiology, mortality)
- Risk Factors
|