Table 1. Meta-analysis of studies on acute maternal complications associated with cesarean section without clinical indication.
Outcome | Effect estimate | 95%CI | Weight (%) | pb |
---|---|---|---|---|
Postpartum infection | ||||
Allen et al. 1 (2003) | 2.2 | 1.08–4.45 | 21.71 | |
Koroukian 19 (2004) | 4.07 | 3.71–4.46 | 31.69 | < 0.001 |
Allen et al. 2 (2006) | 4.87 | 2.28–10.37 | 20.69 | |
Farchi et al. 14 (2010) | 1.46 | 0.88–2.39 | 25.9 | |
Group effect | 2.83 | 1.58–5.06 | 100 | |
Hemorrhage | ||||
Allen et al. 1 (2003) | 0.60 | 0.40–0.90 | 5.17 | |
Koroukian 19 (2004) | 0.51 | 0.462–0.56 | 87.94 | 0.146 |
Allen et al. 2 (2006) | 0.72 | 0.50–1.02 | 6.89 | |
Group effect | 0.52 | 0.48–0.57 | 100 | |
Maternal death | ||||
Souza et al. 27 (2010) | ||||
Antepartum cesarean | not estimateda | |||
Intrapartum cesarean | 3.21 | 0.78–13.20 | 11.41 | |
Kamilya et al. 18 (2010) | 0.141 | |||
Antepartum cesarean | 1.73 | 0.80–3.72 | 38.77 | |
Intrapartum cesarean | 4.86 | 2.47–9.56 | 49.82 | |
Group effect | 3.10 | 1.92–5.00 | 100 | |
Blood transfusion | ||||
Allen et al. 1 (2003) | 0.70 | 0.19–2.57 | 10.53 | |
Koroukian 19 (2004) | 1.86 | 1.37–2.51 | 21.13 | < 0.001 |
Allen et al. 2 (2006) | 1.85 | 0.51–6.68 | 10.68 | |
Souza et al. 27 (2010) | ||||
Antepartum cesarean | 1.79 | 0.91–3.52 | 17.18 | |
Intrapartum cesarean | 3.70 | 2.24–6.10 | 19.20 | |
Farchi et al. 14 (2010) | 0.77 | 0.58–1.02 | 21.28 | |
Group effect | 1.57 | 0.88–2.81 | 100 |
a No cases of maternal death in the group.
b Chi-square of heterogeneity.