Incidence of persistent postpartum opioid use by mode of delivery: a 2016 cohort study of danish women

AbstractObjectivesBirth tears are a common complication of vaginal childbirth. We aimed to evaluate the outcomes of birth tears first by comparing the mode of vaginal birth (VB) and then comparing different vacuum cups in instrumental VBs in order to better advise childbearing women and obstetrical professionals.MethodsIn a retrospective cohort study, we analyzed nulliparous and multiparous women with a singleton pregnancy in vertex presentation at ≥37 + 0 gestational weeks who gave birth vaginally at our tertiary care center between 06/2012 and 12/2016. We compared the distribution of tear types in spontaneous births (SBs) vs. vacuum-assisted VBs. We then compared the tear distribution in the vacuum group when using the Kiwi Omnicup or Bird’s anterior metal cup. Outcome parameters were the incidence and distribution of the different tear types dependent on the mode of delivery and type of vacuum cup.ResultsA total of 4549 SBs and 907 VBs were analyzed. Birth tear distribution differed significantly between the birth modes. In 15.2% of women with an SB an episiotomy was performed vs. 58.5% in women with a VB. Any kind of perineal tear was seen in 45.7% after SB and in 32.7% after VB. High-grade obstetric anal sphincter injuries (OASIS) appeared in 1.1% after SB and in 3.1% after VB. No significant changes in tear distribution were found between the two different VB modes.ConclusionsThere were more episiotomies, vaginal tears and OASIS after VB than after SB. In contrast, there were more low-grade perineal and labial tears after SB. No significant differences were found between different vacuum cup systems, just a slight trend toward different tear patterns.

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Fetal CHD and perinatal outcomes

Cardiology in the Young ◽

10.1017/s1047951120000785 ◽

2020 ◽

Vol 30 (5) ◽

pp. 686-691

Author(s):

Christina J. Ge ◽

Amanda C. Mahle ◽

Irina Burd ◽

Eric B. Jelin ◽

Priya Sekar ◽

...

Keyword(s):

Cohort Study ◽

Preterm Delivery ◽

Odds Ratio ◽

Retrospective Cohort ◽

Mode Of Delivery ◽

Perinatal Outcomes ◽

Fold Increase ◽

Cesarean Sections ◽

Increased Risk ◽

Gestational Age At Delivery

AbstractObjective:To evaluate delivery management and outcomes in fetuses prenatally diagnosed with CHD.Study design:A retrospective cohort study was conducted on 6194 fetuses (born between 2013 and 2016), comparing prenatally diagnosed with CHD (170) to those with non-cardiac (234) and no anomalies (5790). Primary outcomes included the incidence of preterm delivery and mode of delivery.Results:Gestational age at delivery was significantly lower between the CHD and non-anomalous cohorts (38.6 and 39.1 weeks, respectively). Neonates with CHD had a significantly lower birth weights (p < 0.001). There was an approximately 1.5-fold increase in the rate of primary cesarean sections associated with prenatally diagnosed CHD with an odds ratio of 1.49 (95% CI 1.06–2.10).Conclusions:Our study provides additional evidence that the prenatal diagnosis of CHD is associated with a lower birth weight, preterm delivery, and with an increased risk of delivery by primary cesarean section.

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Opioid use after endoscopic skull base surgery: A descriptive, prospective, longitudinal cohort study

International Forum of Allergy & Rhinology ◽

10.1002/alr.22871 ◽

2021 ◽

Author(s):

Ryan A. Rimmer ◽

Brian Scott ◽

Jasmina Pailet ◽

Nyssa Fox Farrell ◽

Jess C. Mace ◽

...

Keyword(s):

Cohort Study ◽

Skull Base ◽

Skull Base Surgery ◽

Longitudinal Cohort Study ◽

Opioid Use ◽

Longitudinal Cohort ◽

Endoscopic Skull Base Surgery ◽

Prospective Longitudinal ◽

Prospective Longitudinal Cohort

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The influence of mode of delivery, anthropometric indices, and infant's sex on the maternal and cord blood orexin‐A levels: A cohort study

Journal of Obstetrics and Gynaecology Research ◽

10.1111/jog.14758 ◽

2021 ◽

Author(s):

Fatemeh Razavinia ◽

Najmeh Tehranian ◽

Shahideh Jahanian Sadatmahalleh ◽

Anoshirvan Kazemnejad ◽

Shaghayegh Khajetash ◽

...

Keyword(s):

Cohort Study ◽

Cord Blood ◽

Mode Of Delivery ◽

Anthropometric Indices ◽

Orexin A

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Early opioid prescription and risk of long-term opioid use among US workers with back and shoulder injuries: a retrospective cohort study

Injury Prevention ◽

10.1136/injuryprev-2015-041630 ◽

2015 ◽

Vol 22 (3) ◽

pp. 211-215 ◽

Cited By ~ 4

Author(s):

Sara E Heins ◽

Dorianne R Feldman ◽

David Bodycombe ◽

Stephen T Wegener ◽

Renan C Castillo

Keyword(s):

Cohort Study ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Shoulder Injuries ◽

Opioid Use ◽

Opioid Prescription

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Integrated vs nonintegrated treatment for perinatal opioid use disorder: retrospective cohort study

American Journal of Obstetrics & Gynecology MFM ◽

10.1016/j.ajogmf.2021.100489 ◽

2022 ◽

Vol 4 (1) ◽

pp. 100489

Author(s):

Daisy J. Goodman ◽

Elizabeth C. Saunders ◽

Julia R. Frew ◽

Cybele Arsan ◽

Haiyi Xie ◽

...

Keyword(s):

Cohort Study ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Opioid Use Disorder ◽

Opioid Use

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Mode of Delivery and Post-partum Depression: A Cohort Study

Journal of Women s Health Care ◽

10.4172/2167-0420.1000303 ◽

2016 ◽

Vol 05 (01) ◽

Cited By ~ 2

Author(s):

Mohammad Arbabi ◽

Ziba Taghizadeh

Keyword(s):

Cohort Study ◽

Post Partum ◽

Mode Of Delivery ◽

Post Partum Depression

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Obstetrical mode of delivery and behavioural outcomes in childhood and adolescence: findings from the Millennium Cohort Study

Social Psychiatry and Psychiatric Epidemiology ◽

10.1007/s00127-022-02233-x ◽

2022 ◽

Author(s):

Gillian M. Maher ◽

Ali S. Khashan ◽

Fergus P. McCarthy

Keyword(s):

Logistic Regression ◽

Cohort Study ◽

Caesarean Section ◽

Vaginal Delivery ◽

Repeated Measures ◽

Multiple Testing ◽

Mode Of Delivery ◽

Childhood And Adolescence ◽

Millennium Cohort Study ◽

Adjusted Logistic Regression

Abstract Purpose To examine the association between mode of delivery (in particular caesarean section) and behavioural outcomes in offspring at six time-points between age 3 and 17 years. Methods Similar to previous work examining the association between mode of delivery and behavioural outcomes in offspring at age 7, we used maternal-reported data from the Millennium Cohort Study. Data on mode of delivery were collected when children were 9 months and categorised as spontaneous vaginal delivery, assisted vaginal delivery, induced vaginal delivery, emergency caesarean section, planned caesarean section and caesarean section after induction of labor. Data on behavioural outcomes were collected at ages 3, 5, 7, 11, 14 and 17 years using the Strengths and Difficulties Questionnaire (SDQ). Crude and adjusted logistic regression examined mode of delivery–behavioural difficulties relationship, using validated SDQ cut-off points (total SDQ ≥ 17, emotional ≥ 5, conduct ≥ 4, hyperactivity ≥ 7, peer problems ≥ 4 and prosocial behaviour ≤ 4). Multilevel models with linear splines examined the association between mode of delivery and repeated measures of SDQ. Results There were 18,213 singleton mother–child pairs included at baseline, 13,600 at age 3; 13,831 at age 5; 12,687 at age 7; 11,055 at age 11; 10,745 at age 14 and 8839 at age 17. Adjusted logistic regression suggested few associations between mode of delivery and behavioural outcomes at ages 3, 5, 11, 14 and 17 years using validated SDQ cut-off points. After correction for multiple testing, only the protective association between planned caesarean section-Conduct difficulties at age 5 years (OR 0.63, 95% CI 0.46, 0.85) and positive association between caesarean section after induction-Emotional difficulties at age 11 years (OR 1.57, 95% CI 1.19, 2.07) remained statistically significant. Multilevel modelling suggested mean SDQ scores were similar in each mode of delivery group at each time point. Conclusions Results of this study indicate that mode of delivery is unlikely to have a major impact on behavioural outcomes.

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