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Maternal and perinatal mortality/morbidity associated with cesarean section in Indonesia
1Department of Obstetrics and Gynecology, School of Medicine, Padjadjaran University, Bandung, Indonesia.
Objectives:
To compare the frequencies of maternal mortality and perinatal mortality, and severe morbidity among cases of cesarean delivery.
Study Design:
A cohort study, the outcome of major interest (cesarean section) being evaluated retrospectively and the cohort being hospital-based and actually covering a 10-year period.
Subjects:
Six hundred sixty-three cesarean deliveries out of a total of 7,128 births in the period 1981-1983 and 761 out of 8,534 in 1988-1990 were analyzed.
Statistical Analysis:
Chi-square statistical analysis and Linear regression analysis were used.
Results:
The maternal mortality was 985.7/100,000 live births and 757.5/100,000 live births in period I and II, respectively. Perinatal mortality in the two periods was 125.6 per 1,000 live births and 90.8 per 1,000 live births, respectively. Although the cesarean birth rate did not increase, there was a decrease in maternal and perinatal mortality. The study demonstrated that although overall maternal mortality was high, the fatality rate in cesarean delivery was low: 4.5 and 2.6 per 1,000 cesarean sections in period I and II, respectively.
Conclusions:
Maternal mortality and perinatal mortality following cesarean delivery were more related to maternal illness rather than the surgery.