Cesarean delivery and risk for postoperative adhesions and intestinal obstruction: a nested case-control study of the Swedish Medical Birth Registry
(2010) 30th Annual Meeting of the Society-for-Maternal-Fetal-Medicine 203(4).- Abstract
- OBJECTIVE: The objective of the study was to estimate the risk for postoperative adhesions and intestinal obstruction after cesarean delivery and to estimate whether the rate remains stable over time. STUDY DESIGN: Women who had the aforementioned diagnoses in the Swedish Hospital Discharge Registry were linked to the Swedish Medical Birth Registry. Women with diagnoses increasing the risk for adhesions were excluded. More than 900,000 women were investigated. Risks were calculated and were adjusted for age, parity, body mass index, and smoking. RESULTS: Women delivered by cesarean delivery had an increased risk of adhesions: adjusted odds ratio, 2.1 (95% confidence interval, 1.8-2.4) and intestinal obstruction: adjusted odds ratio, 2.0 (... (More)
- OBJECTIVE: The objective of the study was to estimate the risk for postoperative adhesions and intestinal obstruction after cesarean delivery and to estimate whether the rate remains stable over time. STUDY DESIGN: Women who had the aforementioned diagnoses in the Swedish Hospital Discharge Registry were linked to the Swedish Medical Birth Registry. Women with diagnoses increasing the risk for adhesions were excluded. More than 900,000 women were investigated. Risks were calculated and were adjusted for age, parity, body mass index, and smoking. RESULTS: Women delivered by cesarean delivery had an increased risk of adhesions: adjusted odds ratio, 2.1 (95% confidence interval, 1.8-2.4) and intestinal obstruction: adjusted odds ratio, 2.0 ( 95% confidence interval, 1.7-2.4). The number needed to harm was 360. Multiple caesarean deliveries increased the risk of adhesions. The risk did not increase over time. CONCLUSION: The absolute risk of postoperative adhesions and intestinal obstruction after cesarean section are low but should be included when counseling women requesting cesarean delivery. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1695700
- author
- Andolf, Ellika ; Thorsell, Malin and Källén, Karin LU
- organization
- publishing date
- 2010
- type
- Chapter in Book/Report/Conference proceeding
- publication status
- published
- subject
- keywords
- obstetric labor complications, adhesions, bowel obstruction
- host publication
- American Journal of Obstetrics and Gynecology
- volume
- 203
- issue
- 4
- publisher
- Mosby-Elsevier
- conference name
- 30th Annual Meeting of the Society-for-Maternal-Fetal-Medicine
- conference dates
- 2010-02-01 - 2010-02-06
- external identifiers
-
- wos:000282287000057
- scopus:77957345160
- pmid:20875502
- ISSN
- 1097-6868
- 0002-9378
- DOI
- 10.1016/j.ajog.2010.07.013
- language
- English
- LU publication?
- yes
- id
- 05281847-1d74-4f99-9510-4d01b794651a (old id 1695700)
- date added to LUP
- 2016-04-01 09:53:17
- date last changed
- 2025-01-14 00:30:58
@inproceedings{05281847-1d74-4f99-9510-4d01b794651a,
abstract = {{OBJECTIVE: The objective of the study was to estimate the risk for postoperative adhesions and intestinal obstruction after cesarean delivery and to estimate whether the rate remains stable over time. STUDY DESIGN: Women who had the aforementioned diagnoses in the Swedish Hospital Discharge Registry were linked to the Swedish Medical Birth Registry. Women with diagnoses increasing the risk for adhesions were excluded. More than 900,000 women were investigated. Risks were calculated and were adjusted for age, parity, body mass index, and smoking. RESULTS: Women delivered by cesarean delivery had an increased risk of adhesions: adjusted odds ratio, 2.1 (95% confidence interval, 1.8-2.4) and intestinal obstruction: adjusted odds ratio, 2.0 ( 95% confidence interval, 1.7-2.4). The number needed to harm was 360. Multiple caesarean deliveries increased the risk of adhesions. The risk did not increase over time. CONCLUSION: The absolute risk of postoperative adhesions and intestinal obstruction after cesarean section are low but should be included when counseling women requesting cesarean delivery.}},
author = {{Andolf, Ellika and Thorsell, Malin and Källén, Karin}},
booktitle = {{American Journal of Obstetrics and Gynecology}},
issn = {{1097-6868}},
keywords = {{obstetric labor complications; adhesions; bowel obstruction}},
language = {{eng}},
number = {{4}},
publisher = {{Mosby-Elsevier}},
title = {{Cesarean delivery and risk for postoperative adhesions and intestinal obstruction: a nested case-control study of the Swedish Medical Birth Registry}},
url = {{http://dx.doi.org/10.1016/j.ajog.2010.07.013}},
doi = {{10.1016/j.ajog.2010.07.013}},
volume = {{203}},
year = {{2010}},
}