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KMID : 0358420110540060279
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Korean Journal of Obstetrics and Gynecology
2011 Volume.54 No. 6 p.279 ~ p.285
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The pros and cons of different modes of delivery at a single institution
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Rhu Ji-Won
Rho Young-Ho
Han Sang-Won
Ha Hyun-Yong
Kim Eui-Hyeok
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Abstract
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Objective : To compare the postpartum maternal and neonatal effects and complications according to delivery modes.
Methods: Five hundred twenty eight singleton pregnant women, who delivered after 36 gestational weeks in National Health Insurance Corporation Ilsan Hospital between July 2007 and July 2009, were retrospectively analyzed. They were categorized into 3 groups: group A, vaginal delivery; group B, elective cesarean delivery; and group C, emergent cesarean delivery. We evaluated the difference in hemoglobin decrement and postpartum hospital stays, medico-surgical curettage, and antibiotics usage. From the view point of neonates, 1 and 5 minute Apgar scores and Neonatal Intensive Care Unit (NICU) admission rates and meconium aspiration rates were evaluated.
Results: Postpartum hemoglobin decrement and postpartum hospital days were statistically different among the groups, which results were 1.28 vs. 1.88 vs. 2.68 g/dL and 3.5 vs. 5.9 vs. 6.6 days, respectively (p<0.001). Number of out-patient-department follow-up was highest in group C and additional antibiotics usage was highest in group A with statistical significance. The Apgar score was highest in group B (8.0% vs. 3.2% vs. 16.3%, p=0.002). NICU admission rate and meconium aspiration were also lowest in group B (4.5% vs. 0% vs. 7.5%, p=0.001).
Conclusion: Although vaginal delivery showed advantage over blood loss related to procedure, hospital days and number of follow up, elective cesarean delivery has advantage carrying less severe complication of mother and better outcome for the baby than other delivery methods.
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KEYWORD
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Cesarean section, Delivery, obstetric, Pregnancy complication
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