An audit of caesarean sections for very low birth weight babies

作者：Khalifeh A; Farah N^*; Turner M

来源：Journal of Obstetrics and Gynaecology, 2010, 30(3): 261-263.

DOI：10.3109/01443610903531410

• Caesarean section
• neonatal outcome
• pre-term delivery
• uterine rupture
• vaginal birth after caesarean section
• very low birth weight babies

This study reviewed caesarean sections for very low birth weight babies in a tertiary referral maternity hospital. Maternal and neonatal complications were recorded and classified according to uterine incision type. We reviewed medical records of 89 women over a period of 2 years. The indication for the caesarean section influenced the type of uterine incision made (p = 0.004). Women who had antepartum haemorrhage were more likely to need a vertical incision. There was also a higher incidence of vertical incisions for gestations < 28 weeks (p = 0.029). Surprisingly, when the computerised discharge summaries were reviewed retrospectively, all the vertical uterine incisions were recorded as lower segment caesarean sections. This would have a clinical impact on those women in future pregnancies, especially in a highly mobile population.

• 出版日期2010-4