[Can we decrease cesarean rate at a university hospital treating high risk pregnancies?]
Fiche publication
Date publication
septembre 2015
Auteurs
Membres identifiés du Cancéropôle Est :
Pr RAMANAH Rajeev
Tous les auteurs :
Lembrouck C, Mottet N, Bourtembourg A, Ramanah R, Riethmuller D
Lien Pubmed
Résumé
OBJECTIVE: To determine which clinical practice changes were responsible for a decrease in cesarean rate from 19.2% in 2003 to 15.5% in 2012 at our university hospital treating high risk pregnancies, while verifying the absence of any increase in neonatal morbidity and death. MATERIALS AND METHODS: A descriptive retrospective study was undertaken at our labour ward including all patients delivering in 2003 and in 2012. Maternal, obstetrical and neonatal characteristics of the two populations were compared. Cesarean rates were analysed following : (1) Robson classification, (2) some maternal and obstetrical characteristics, and (3) indications for cesarean. RESULTS: Mean age, BMI and rate of scarred uterus significantly increased in 2012. The two populations remained comparable in terms of other criteria studied. The main cause responsible for decrease in cesarean rate was breech presentations (p
Référence
J Gynecol Obstet Biol Reprod (Paris). 2015 Sep 30. pii: S0368-2315(15)00207-0