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Association between gestational age and severe maternal morbidity and mortality of preterm cesarean delivery: A population-based cohort study

American Journal of Obstetrics and Gynecology Mar 02, 2019

Blanc J, et al. - Researchers assessed if gestational age <26 weeks of gestation (weeks) is correlated with severe maternal morbidity and mortality (SMMM) of preterm cesarean deliveries in comparison with cesarean deliveries between 26 and 34 weeks. Using the Etude Epidémiologique sur les petits âges gestationnels (EPIPAGE) 2, they identified 2525 women having preterm cesarean deliveries, 116 before 26 weeks and 2409 between 26 and 34 weeks. SMMM were reported in 407 (14.4%). As per cluster multivariate logistic regression, gestational age <26 weeks was significantly associated with SMMM. They recommend obstetricians to integrate this knowledge into decisions regarding cesarean delivery and be prepared to manage the associated complications.
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