Maternal deaths after elective cesarean section for breech presentation in the Netherlands.

Abstract:

BACKGROUND AND METHODS:The cesarean section rate for term singleton breech babies in the Netherlands rose from 57 to 81% after the Term Breech Trial in 2000. The Dutch Maternal Mortality Committee registered and evaluated maternal mortality due to elective cesarean section for breech. RESULTS:Four maternal deaths after elective cesarean section for breech presentation, from 2000 to 2002 inclusive, were registered, 7% of total direct maternal mortality in that period. Two women died due to massive pulmonary embolism, both were obese, and thromboprophylaxis was not adjusted to their weight. The other two women died from sepsis, one had not receive perioperative prophylactic antibiotics. The case fatality rate for elective cesarean section for breech presentation was 0.47/1,000 operations. No death after emergency cesarean section for breech presentation was registered at the committee. CONCLUSIONS:Elective cesarean section does not guarantee the improved outcome of the child, but may increase risks for the mother, compared to vaginal delivery.

authors

Schutte JM,Steegers EA,Santema JG,Schuitemaker NW,van Roosmalen J,Maternal Mortality Committee Of The Netherlands Society Of Obstetrics.

doi

10.1080/00016340601104054

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

240-3

issue

2

eissn

0001-6349

issn

1600-0412

pii

770209631

journal_volume

86

pub_type

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