23 Citations (Scopus)

Abstract

Objective: This population-based study aimed to compare the risk of postpartum hemorrhage (PPH) for patients who underwent cesarean section delivery (CS) with general vs spinal/epidural anesthesia. Study Design: We identified 67,328 women who had live singleton births by CS by linking the Taiwan National Health Insurance Research Dataset and the national birth certificate registry. Multivariate logistic regression was carried out to explore the relationship between anesthetic management type and PPH. Results: Women who received general anesthesia had a higher rate of PPH than women who received epidural anesthesia (5.1% vs 0.4%). The odds of PPH in women who had CS with general anesthesia were 8.15 times higher (95% confidence interval, 6.4310.33) than for those who had CS with epidural anesthesia, after adjustment was made for the maternal and fetal characteristics. Conclusion: The odds that women will experience cesarean PPH with general anesthesia are approximately 8.15 times higher than for women who undergo CS with epidural anesthesia.

Original languageEnglish
JournalAmerican Journal of Obstetrics and Gynecology
Volume205
Issue number5
DOIs
Publication statusPublished - Nov 2011

Fingerprint

Postpartum Hemorrhage
Cesarean Section
Epidural Anesthesia
Anesthetics
General Anesthesia
Birth Certificates
Spinal Anesthesia
National Health Programs
Live Birth
Taiwan
Postpartum Period
Registries
Logistic Models
Mothers
Confidence Intervals
Research
Population

Keywords

  • epidural anesthesia
  • general anesthesia
  • postpartum hemorrhage

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

@article{5daa62ef661546e78896c76041cce523,
title = "Anesthetic management as a risk factor for postpartum hemorrhage after cesarean deliveries",
abstract = "Objective: This population-based study aimed to compare the risk of postpartum hemorrhage (PPH) for patients who underwent cesarean section delivery (CS) with general vs spinal/epidural anesthesia. Study Design: We identified 67,328 women who had live singleton births by CS by linking the Taiwan National Health Insurance Research Dataset and the national birth certificate registry. Multivariate logistic regression was carried out to explore the relationship between anesthetic management type and PPH. Results: Women who received general anesthesia had a higher rate of PPH than women who received epidural anesthesia (5.1{\%} vs 0.4{\%}). The odds of PPH in women who had CS with general anesthesia were 8.15 times higher (95{\%} confidence interval, 6.4310.33) than for those who had CS with epidural anesthesia, after adjustment was made for the maternal and fetal characteristics. Conclusion: The odds that women will experience cesarean PPH with general anesthesia are approximately 8.15 times higher than for women who undergo CS with epidural anesthesia.",
keywords = "epidural anesthesia, general anesthesia, postpartum hemorrhage",
author = "Chuen-Chau Chang and Wang, {I. Te} and Yi-Hua Chen and Herng-Ching Lin",
year = "2011",
month = "11",
doi = "10.1016/j.ajog.2011.06.068",
language = "English",
volume = "205",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "5",

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T1 - Anesthetic management as a risk factor for postpartum hemorrhage after cesarean deliveries

AU - Chang, Chuen-Chau

AU - Wang, I. Te

AU - Chen, Yi-Hua

AU - Lin, Herng-Ching

PY - 2011/11

Y1 - 2011/11

N2 - Objective: This population-based study aimed to compare the risk of postpartum hemorrhage (PPH) for patients who underwent cesarean section delivery (CS) with general vs spinal/epidural anesthesia. Study Design: We identified 67,328 women who had live singleton births by CS by linking the Taiwan National Health Insurance Research Dataset and the national birth certificate registry. Multivariate logistic regression was carried out to explore the relationship between anesthetic management type and PPH. Results: Women who received general anesthesia had a higher rate of PPH than women who received epidural anesthesia (5.1% vs 0.4%). The odds of PPH in women who had CS with general anesthesia were 8.15 times higher (95% confidence interval, 6.4310.33) than for those who had CS with epidural anesthesia, after adjustment was made for the maternal and fetal characteristics. Conclusion: The odds that women will experience cesarean PPH with general anesthesia are approximately 8.15 times higher than for women who undergo CS with epidural anesthesia.

AB - Objective: This population-based study aimed to compare the risk of postpartum hemorrhage (PPH) for patients who underwent cesarean section delivery (CS) with general vs spinal/epidural anesthesia. Study Design: We identified 67,328 women who had live singleton births by CS by linking the Taiwan National Health Insurance Research Dataset and the national birth certificate registry. Multivariate logistic regression was carried out to explore the relationship between anesthetic management type and PPH. Results: Women who received general anesthesia had a higher rate of PPH than women who received epidural anesthesia (5.1% vs 0.4%). The odds of PPH in women who had CS with general anesthesia were 8.15 times higher (95% confidence interval, 6.4310.33) than for those who had CS with epidural anesthesia, after adjustment was made for the maternal and fetal characteristics. Conclusion: The odds that women will experience cesarean PPH with general anesthesia are approximately 8.15 times higher than for women who undergo CS with epidural anesthesia.

KW - epidural anesthesia

KW - general anesthesia

KW - postpartum hemorrhage

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