scholarly journals Socioeconomic and migration status as predictors of emergency caesarean section: a birth cohort study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
C. Miani ◽  
A. Ludwig ◽  
J. Breckenkamp ◽  
O. Sauzet ◽  
I-M Doyle ◽  
...  
BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019509 ◽  
Author(s):  
Mohammed Zimmo ◽  
Katariina Laine ◽  
Sahar Hassan ◽  
Erik Fosse ◽  
Marit Lieng ◽  
...  

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.


2000 ◽  
Vol 176 (6) ◽  
pp. 516-522 ◽  
Author(s):  
R. E. Kendell ◽  
K. McInneny ◽  
E. Juszczak ◽  
M. Bain

BackgroundMost previous case–control studies of obstetric complications in schizophrenia have been small scale and many have relied on retrospective information.AimsTo determine which obstetric complications are more common in probands with schizophrenia than matched controls.MethodTwo hundred and ninety-six probands with an in-patient diagnosis of schizophrenia who had been born in Scotland in 1971–74, and a further 156 born in 1975–78, were closely matched with controls and the incidence of obstetric complications in the two compared using obstetric data recorded in a set format shortly after birth.ResultsNot a single complication of pregnancy or delivery was significantly more common in the probands with schizophrenia than the controls in the 1971–74 birth cohort and only emergency Caesarean section and labour lasting over 12 hours were significantly more common in the schizophrenia probands in the 1975–78 cohort.ConclusionThe evidence that schizophrenia is associated with a raised incidence of obstetric complications is weaker than has recently been assumed.


Anaesthesia ◽  
2018 ◽  
Vol 73 (7) ◽  
pp. 825-831 ◽  
Author(s):  
E. Palmer ◽  
S. Ciechanowicz ◽  
A. Reeve ◽  
S. Harris ◽  
D. J. N. Wong ◽  
...  

2021 ◽  
pp. archdischild-2020-319659 ◽  
Author(s):  
Cecilie Skaarup Uldbjerg ◽  
Jessica E Miller ◽  
David Burgner ◽  
Lars Henning Pedersen ◽  
Bodil Hammer Bech

ObjectiveTo investigate whether antibiotic exposure during pregnancy was associated with childhood asthma and if this relationship was conditional on timing of exposure and mode of delivery.DesignA cohort study using multivariable logistic regression models adjusting for a priori defined confounders. Pregnant women were recruited from 1996 to 2002.SettingThe Danish National Birth Cohort.PatientsOf the 96 832 children in the cohort, 32 651 children were included in the study population.Main outcome measureParent-reported childhood asthma at 11 years.ResultsA total of 5522 (17%) children were born to mothers exposed to antibiotics during pregnancy. In adjusted analyses, children born to exposed mothers had higher odds of asthma (OR 1.14, 95% CI 1.05 to 1.24). There was no association with antibiotic exposure in the first trimester (OR 1.02, 95% CI 0.83 to 1.26), but higher odds were observed for antibiotic exposure in the second to third trimester (OR 1.17, 95% CI 1.06 to 1.28), compared with unexposed children. The overall association between antibiotics during pregnancy and childhood asthma was only observed in vaginally born children (OR 1.17, 95% CI 1.07 to 1.28) but not in caesarean section born children (planned caesarean section: OR 0.95, 95% CI 0.66 to 1.37; caesarean emergency: OR 0.96, 95% CI 0.73 to 1.28). In exposed vaginally born children, the odds for childhood asthma requiring treatment during the preceding year were 34% higher (OR 1.34, 95% CI 1.21 to 1.49), compared with unexposed vaginally born children.ConclusionsAntibiotic exposure in mid-to-late pregnancy is associated with higher odds of childhood asthma in vaginally born children. Mode of delivery may modify the association.


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