Effect on women's health of planned Caesarian compared with planned vaginal birth for women with uncomplicated pregnancy and no previous caesarians
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Effects around the time of birthFinding for planned caesarianFinding for planned vaginal birth (including % unplanned CS in planned vaginal birth group)
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Studies suggest may be reduced after a planned CS
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Perineal and abdominal pain during birth (score/10)Median score 1.0Median score 7.3 (10.3&)
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Perineal and abdominal pain 3 days postpartum (score/10)Median score 4.5Median score 5.2 (10.3)
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Injury to vagina0%0.56% (14.7%)
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Early postpartum haemorrhage study 11.1%6% (35%)
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study 23.9%6.2% (8.3%)
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Obstetric shock0.006%0.018% (8.2%)
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Stduies suggest may be reduced after planned vaginal birth
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Length of hospital stay3.2 days2.6 days (35%)
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3.96 days2.56 days (8.2%)
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Hysterectomy due to post-partum haemorrhage 0.03%0.01% (8.2%)
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Cardiac arrest0.19%0.03% (8.2%)
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Conflicting findings in studies
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Maternal death study 19/737 (cases/controls) 1.22%49/9133 (cases/controls) 0.53%
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study 20%0% (14.7%)
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study 30%0.002%
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Deep vein thrombosis study 10%0.03% (8.2%)
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study 20.06%0.03% (8.2%)
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Blood transfusion study 11.7%1.9% (35%)
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study 20.3%0.3% (14.7%)
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study 30.3%0.4% (8.3%)
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study 40.02%0.07% (8.2%)
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Infection - wound and postpartum study 11.1%0.21% (8.2%)
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study 20.6%0.21% (8.2%)
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Hysterectomy study 10.6%0.1% (35%)
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study 20.1%0.01% (14.7%)
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study 30.06%0.02% (8.2%)
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Anasthetic comlications study 10.4%0.3% (14.7%)
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study 20.53%0.21% (8.2%)
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