IMR Press / CEOG / Volume 44 / Issue 1 / DOI: 10.12891/ceog3161.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
A comparison of maternal outcomes in complicated vaginal and cesarean deliveries
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1 Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey
2 Department of Obstetrics and Gynecology, İdil State Hospital, Şirnak, Turkey
3 Department of Obstetrics and Gynecology, Sedef Medical Center, Diyarbakir, Turkey
Clin. Exp. Obstet. Gynecol. 2017, 44(1), 20–26; https://doi.org/10.12891/ceog3161.2017
Published: 10 February 2017
Abstract

Objective: The purpose of this study was to compare general characteristics, laboratory data, and maternal outcomes of patients who experienced complications in the first 24 hours after a normal vaginal delivery or cesarean section (C-section). This way, the authors intended to determine the results of complications in these patients. Materials and Methods: Data of patients referred from the peripheral care centers to the present tertiary care center in the first 24 hours after a vaginal delivery or C-section due to the presence of various complications were screened retrospectively from 2009 to 2013. Clinical and demographic characteristics, laboratory parameters, indications for C-section, mortality rates, maternal morbidities, surgical and medical treatments administered in the clinic, as well as operations performed in other care centers were noted. Results: A total of 330 patients were included in this study. Of these patients, 285 constituted the postoperative group (C-sections) whereas 45 constituted the postpartum (vaginal deliveries) group. There was no statistically significant difference between the two groups in demographic characteristics, results of laboratory parameters, maternal morbidity, and mortality rates. Requirement of hysterectomy and relaparotomy was significantly higher in the postoperative group. Conclusions: In the early follow-up, it was found that complicated C-sections and vaginal deliveries had similar results. However, it should also be mentioned that higher requirement of hysterectomy and relaparotomy emerged as an undesirable condition among the postoperative patients in this study. With this in mind, mode of delivery should be selected according to the overall health status of the patient and indications for C-section.
Keywords
Cesarean sections
Vaginal deliveries
Complications
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