scholarly journals Differences in rates and odds for emergency caesarean section in six Palestinian hospitals: a population-based birth cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019509 ◽  
Author(s):  
Mohammed Zimmo ◽  
Katariina Laine ◽  
Sahar Hassan ◽  
Erik Fosse ◽  
Marit Lieng ◽  
...  
Keyword(s):  
Cohort Study ◽  
Caesarean Section ◽  
Birth Cohort ◽  
Population Based ◽  
Emergency Caesarean Section ◽  
Birth Cohort Study ◽  
Emergency Caesarean ◽  
Reference Hospital ◽  
Primiparous Women ◽  
Singleton Pregnancies

ObjectiveTo assess the differences in rates and odds for emergency caesarean section among singleton pregnancies in six governmental Palestinian hospitals.DesignA prospective population-based birth cohort study.SettingObstetric departments in six governmental Palestinian hospitals.Participants32 321 women scheduled to deliver vaginally from 1 March 2015 until 29 February 2016.MethodsTo assess differences in sociodemographic and antenatal obstetric characteristics by hospital, χ2test, analysis of variance and Kruskal-Wallis test were applied. Logistic regression was used to estimate differences in odds for emergency caesarean section, and ORs with 95% CIs were assessed.Main outcome measuresThe primary outcome was the adjusted ORs of emergency caesarean section among singleton pregnancies for five Palestinian hospitals as compared with the reference (Hospital 1).ResultsThe prevalence of emergency caesarean section varied across hospitals, ranging from 5.8% to 22.6% among primiparous women and between 4.8% and 13.1% among parous women. Compared with the reference hospital, the ORs for emergency caesarean section were increased in all other hospitals, crude ORs ranging from 1.95 (95% CI 1.42 to 2.67) to 4.75 (95% CI 3.49 to 6.46) among primiparous women. For parous women, these differences were less pronounced, crude ORs ranging from 1.37 (95% CI 1.13 to 1.67) to 2.99 (95% CI 2.44 to 3.65). After adjustment for potential confounders, the ORs were reduced but still statistically significant, except for one hospital among parous women.ConclusionSubstantial differences in odds for emergency caesarean section between the six Palestinian governmental hospitals were observed. These could not be explained by the studied sociodemographic or antenatal obstetric characteristics.

Staphylococcus aureus sensitization and allergic disease in early childhood: Population-based birth cohort study

2007 ◽  
Vol 119 (4) ◽  
pp. 930-936 ◽  
Author(s):  
Aida Semic-Jusufagic ◽  
Claus Bachert ◽  
Philippe Gevaert ◽  
Gabriele Holtappels ◽  
Lesley Lowe ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Early Childhood ◽  
Cohort Study ◽  
Birth Cohort ◽  
Allergic Disease ◽  
Population Based ◽  
Birth Cohort Study ◽  
Childhood Population

scholarly journals The Protective Effect of Adenoidectomy on Pediatric Tympanostomy Tube Re-Insertions: A Population-Based Birth Cohort Study

PLoS ONE ◽  
2014 ◽  
Vol 9 (7) ◽  
pp. e101175 ◽  
Author(s):  
Mao-Che Wang ◽  
Ying-Piao Wang ◽  
Chia-Huei Chu ◽  
Tzong-Yang Tu ◽  
An-Suey Shiao ◽  
...  
Keyword(s):  
Cohort Study ◽  
Protective Effect ◽  
Birth Cohort ◽  
Population Based ◽  
Birth Cohort Study ◽  
Tympanostomy Tube

scholarly journals Late Pregnancy Vitamin D Deficiency is Associated with Doubled Odds of Birth Asphyxia and Emergency Caesarean Section: A Prospective Cohort Study

2020 ◽  
Vol 24 (11) ◽  
pp. 1412-1418
Author(s):  
Hanna Augustin ◽  
Sinead Mulcahy ◽  
Inez Schoenmakers ◽  
Maria Bullarbo ◽  
Anna Glantz ◽  
...  
Keyword(s):  
Vitamin D ◽  
Cohort Study ◽  
Caesarean Section ◽  
Vitamin D Deficiency ◽  
Epidural Anaesthesia ◽  
Birth Asphyxia ◽  
Late Pregnancy ◽  
Population Based ◽  
Emergency Caesarean Section ◽  
Vitamin D Status

Abstract Objectives The aim of this prospective cohort study was to investigate the associations between maternal vitamin D status in late pregnancy and emergency caesarean section (EMCS) and birth asphyxia, in a population based sample of women in Sweden. Methods Pregnant women were recruited at the antenatal care in Sweden and 1832 women were included after exclusion of miscarriages, terminated pregnancies and missing data on vitamin D status. Mode of delivery was retrieved from medical records. EMCS was defined as caesarean section after onset of labour. Birth asphyxia was defined as either 5 min Apgar score < 7 or arterial umbilical cord pH < 7.1. Serum was sampled in the third trimester of pregnancy (T3) and 25-hydroxyvitamin D (25OHD) was analysed by liquid chromatography tandem mass spectrometry. Vitamin D deficiency was defined as 25OHD < 30 nmol/L, and associations were studied using logistic regression analysis and expressed as adjusted odds ratios (AOR). Results In total, 141 (7.7%) women had an EMCS and 58 (3.2%) children were born with birth asphyxia. Vitamin D deficiency was only associated with higher odds of EMCS in women without epidural anaesthesia (AOR = 2.01, p = 0.044). Vitamin D deficiency was also associated with higher odds of birth asphyxia (AOR = 2.22, p = 0.044). Conclusions for Practice In this Swedish prospective population-based cohort study, vitamin D deficiency in late pregnancy was associated with doubled odds of birth asphyxia and with EMCS in deliveries not aided by epidural anaesthesia. Prevention of vitamin D deficiency among pregnant women may reduce the incidence of EMCS and birth asphyxia. The mechanism behind the findings require further investigation.

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