How-Much-Greater-Is-Obstetric-Intervention-in-Women-with-Medical-Disorders-in-Pregnancy-When-Compared-to-the-General-Population.pdf (319.7 kB)
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How much greater is obstetric intervention in women with medical disorders in pregnancy when compared to the general population?

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journal contribution
posted on 21.09.2022, 08:16 authored by R Keane, C Manning, C Lynch, C Regan, Bridgette ByrneBridgette Byrne

Introduction The purpose of this study was to compare obstetric and neonatal outcomes between women attending a specialised maternal medicine service and the general obstetric population. 

Methods Women attending from January 2011 to December 2016 were identified from the clinic database. Medical diagnosis, demographics, obstetric and neonatal outcomes were compared with data from hospital annual report 2014. 

Results 1873 women were compared with 8632 women who delivered at the hospital in 2014. Delivery before 34 weeks [82 (4.5%) vs 189 (2.2%)], induction of labour [761 (40.6%) vs 2664 (30.9%)] and delivery by Caesarean Section (CS) [664 (35%) vs 2479 (29%)] were higher p<0.001; but elective CS [334 (18%) vs 1425 (17%), p=0.18] did not differ between the two groups. Neonatal outcomes were similar. 

Conclusion Premature delivery, induction of labour and CS rates are higher in women with medical disorders in pregnancy. Encouragingly, 77% of women attempting vaginal birth in this group were successful.

History

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The original article is available at www.imj.ie

Published Citation

Keane R, Manning C, Lynch C, Regan C, Byrne B. How much greater is obstetric intervention in women with medical disorders in pregnancy when compared to the general population? Ir Med J. 2019;112(9):1001.

Publication Date

15 October 2019

PubMed ID

31651131

Department/Unit

  • Obstetrics and Gynaecology

Publisher

Irish Medical Association

Version

  • Published Version (Version of Record)