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Piis0002937814020651 4
Piis0002937814020651 4
Piis0002937814020651 4
ajog.org
CONCLUSION: Since 2005, the gestational ages at prenatal diagnsois
OBJECTIVE: Cesarean delivery (CD) rates have risen over the last
several decades, in large part, due to increasing safety of the procedure. Our aim was to examine the effects of CD on the risk of
small bowel obstruction (SBO).
STUDY DESIGN: We performed a population-based retrospective
cohort study using the United Kingdom Clinical Practice Research
Datalink and the Hospital Episode Statistics Databases on all women
with a rst live birth and no history of SBO between 1998 and 2007,
with follow-up until 2012. Exposure was time-dependent and
dened as ever having a CD; outcome was dened as admission to
hospital for SBO. Marginal structural models were used to estimate
the effect of CD on hospital admission for SBO adjusting for timedependent confounders.
RESULTS: Our cohort consisted of 86,072 women, 26.3% of whom
had a rst CD at cohort entry. Rates of primary CS increased during
the study period from 23.7% to 28.0%, p<0.01. There were 110
admissions for SBO observed over 523,802 person-years for an
overall incidence of 21 cases / 100,000 person-years. CD was associated with an increased risk of admissions for SBO, OR 1.92 (1.302.84). The risk of admission for SBO increased with increasing
number of CDs, OR 1.77 (1.35-2.34), with women who have had
multiple CDs being at particularly high risk, OR 3.49 (2.04-6.00).
CONCLUSION: CD is associated with an increased risk of admission to
hospital for SBO. Although this overall risk is small, its population
effect should be taken into consideration particularly given the rising
rates of CD.
803 Withdrawn
804 When should postterm pregnancies be induced?
Comparison between two induction protocols: at 41 and at 42
weeks of gestation
Inna Bleicher1, Ron Gonen1
1
Bnai Zion Medical Center, Faculty of Medicine, Technion - Israel Institute of
Technology, Obstetrics and Gynecology, Haifa, Israel
Santa Clara Valley Medical Center, Obstetrics and Gynecology, San Jose, CA,
Stanford University, Obstetrics and Gynecology, Stanford, CA
OBJECTIVE: The purpose of this study was to evaluate the efcacy and
safety of intravenous magnesium sulfate in the resolution of vaginal
bleeding and contractions in nonsevere placental abruption.
STUDY DESIGN: Thirty women between 24-34 weeks of gestation
presenting with vaginal bleeding and uterine contractions and