Table 3.
Maternal and neonatal outcomes of the matched cohort, stratified by approach to delivery.
| Outcome | ERCD N = 3981 N (%) | TOL N = 3981 N (%) | P-valuea | Conditional OR (95% CI) |
|---|---|---|---|---|
| Maternal | ||||
| Endometritis | 85 (2.1) | 144 (3.6) | <.001 | 0.57 (0.43 – 0.75) |
| Wound complication | 34 (0.9) | 17 (0.4) | 0.02 | 2.00 (1.12 – 3.58) |
| Operative injury | 6 (0.2) | 20 (0.5) | 0.006 | 0.30 (0.12 – 0.75) |
| Hysterectomy | 12 (0.3) | 3 (0.1) | 0.02 | 4.00 (1.13 – 14.17) |
| Maternal compositeb | 136 (3.4) | 200 (5.0) | <.001 | 0.67 (0.53 – 0.83) |
| Neonatal | ||||
| TTN | 119 (3.0) | 107 (2.7) | 0.41 | 1.12 (0.86 – 1.46) |
| RDS | 41 (1.0) | 68 (1.7) | 0.01 | 0.60 (0.41 – 0.89) |
| Infection | 124 (3.1) | 211 (5.3) | <.001 | 0.58 (0.46 – 0.72) |
| Acidemia | 14 (0.4) | 25 (0.6) | 0.08 | 0.56 (0.29 – 1.08) |
| Neonatal death | 1 (0.03) | 2 (0.05) | 0.56 | 0.50 (0.05 – 5.51) |
| Neonatal compositec | 202 (5.1) | 295 (7.4) | <.001 | 0.67 (0.55 – 0.80) |
ERCD, elective repeat cesarean; TOL, trial of labor; OR, odds ratio; CI, confidence interval; TTN, transient tachypnea of the newborn; RDS, respiratory distress
a
P-value from McNemar's test
b
Maternal composite outcome includes uterine rupture, endometritis, wound complication, operative injury, hysterectomy, thromboembolism or maternal death.
c
Neonatal composite outcome includes TTN, RDS, infection, acidemia, neonatal death or hypoxic ischemic encephalopathy.