Postpartum Maternal Mortality and Cesarean Delivery

• DOI: 10.1097/01.aog.0000233154.62729.24
• Publication Date: 2010-11-15T15:29:06Z
• Authors: Catherine Deneux-...; Elodie Carmona; Marie-Hélene Bouv...; Gérard Bréart
• Keywords: Maternal death; Cesarean delivery

In Brief OBJECTIVE: A continuous rise in the rate of cesarean delivery has been reported many countries during past decades. This trend prompted emergence a controversial debate on risks and benefits associated with delivery. Our objective was to provide valid estimate risk postpartum maternal death directly as compared vaginal METHODS: population-based case–control study designed, subjects selected from recent nationwide surveys France. To control for indication bias, deaths due antenatal morbidities were excluded. For 5-year period 1996–2000, 65 cases included. The group 1998 French National Perinatal Survey included 10,244 women. Multivariable logistic regression analysis used adjust confounders. RESULTS: After adjustment potential confounders, 3.6 times higher after than (odds ratio 3.64 95% confidence interval 2.15–6.19). Both prepartum intrapartum significantly increased risk. Cesarean complications anesthesia, puerperal infection, venous thromboembolism. hemorrhage did not differ between deliveries. CONCLUSION: is an death. Knowledge causes this excess informs contemporary discussion about request should inform preventive strategies. LEVEL OF EVIDENCE: II-2 delivery, even when performed before labor.