Skip to main content
. 2016 Jul 2;388(10039):62–72. doi: 10.1016/S0140-6736(16)00204-X

Table 3.

Outcomes associated with closure of uterus

Single closure Double closure Adjusted risk ratio (95% CI)
Women's health
Women eligible to be assessed 4613 4621 ..
Known deaths 25/4613 (<1%) 32/4621 (<1%) 0·78 (0·46–1·32)
Subsequent pregnancies
Babies of women with a subsequent viable pregnancy* 1630 1646 ..
Stillbirth 34/1630 (2%) 28/1646 (2%) 1·23 (0·75–2·01)
Neonatal death 32/1595 (2%) 34/1616 (2%) 0·96 (0·59–1·54)
Method of delivery
Non-instrumental vaginal 309/1630 (19%) 288/1646 (18%) ..
Instrumental vaginal 9/1630 (<1%) 5/1646 (<1%) ..
Pre-labour caesarean section 1025/1630 (63%) 1076/1646 (65%) ..
In labour caesarean section 287/1630 (18%) 277/1646 (17%) ..
All caesarean sections 1312/1630 (81%) 1353/1646 (82%) 0·98 (0·95–1·01)
Women with a subsequent viable pregnancy* 1611 1624 ..
Other pregnancy complications, composite§ 38/1609 (2%) 32/1623 (2%) 1·20 (0·75–1·90)
Uterine rupture 1/1610 (<1%) 2/1624 (<1%) 0·50 (0·05–5·51)
Uterine scar dehiscence 4/1609 (<1%) 2/1624 (<1%) 2·01 (0·37–10·95)
Placenta praevia 5/1609 (<1%) 4/1624 (<1%) 1·23 (0·33–4·57)
Morbidly adherent placenta 0/1609 2/1624 (<1%) -
Abruption 6/1610 (<1%) 4/1624 (<1%) 1·51 (0·43–5·35)
Post-partum haemorrhage requiring transfusion of >1 unit of whole blood or packed cells 8/1610 (<1%) 7/1624 (<1%) 1·15 (0·42–3·16)
Severe infection within 6 weeks post partum 14/1610 (<1%) 15/1623 (<1%) 0·94 (0·46–1·94)
Hysterectomy up to 6 weeks post partum 1/1610 (<1%) 1/1624 (<1%) 1·00 (0·06–15·90)
Manual removal of placenta 4/1610 (<1%) 0/1624 ..

Missing data are <1% unless otherwise stated.

*

Viability could not be assessed if gestational age was not recorded.

For the birth after the CORONIS birth.

Excludes stillbirths.

§

Includes: uterine rupture, uterine scar dehiscence, placenta praevia, morbidly adherent placenta, abruption, post-partum haemorrhage requiring transfusion, severe infection within 6 weeks, post-partum hysterectomy up to 6 weeks post partum, manual removal of placenta.