Factor Information
Data ID 2339
Factor operative vaginal delivery rate
Description 38% had operative vaginal deliveries compared to a 10.5% institution rate (p < 0.01). The comparatively high rate of operative vaginal deliveries in our study (38% compared to the 11% institutional rate) reflects the use of what is often referred to as a ‘cardiac’ delivery (i.e. minimal maternal pushing with operative assistance under dense neuraxial block).
Biomarker NA
Classification A12 (clinical factor - treatment)
Association
Application prognosis
Objective a predominance of neuraxial anaesthetic techniques, increased caesarean and operative delivery rates, and favourable maternal and neonatal outcomes. Multicentre studies and registries to compare anaesthetic and obstetric management strategies further and delineate risk factors for adverse outcomes are required.
p Value <0.02
Conclusion We observed a predominance of neuraxial anaesthetic techniques, increased caesarean and operative delivery rates, and favourable maternal and neonatal outcomes.
Risk Factor unknown
CHD Type
ID 148
CHD Type NA
CHD Subtype NA
Reference
PMID 23121251
Year 2013
Title Peripartum outcomes and anaesthetic management of parturients with moderate to complex congenital heart disease or pulmonary hypertension
Sample
Population pregnant woman
Source all pregnancies occurring in women with a diagnosis of moderate to complex congenital cardiac disease during the period from 1 January 2000 to 31 December 2011 at Lucile Packard Children’s Hospital (LPCH),
Region Stanford, USA
Method a retrospective cohort analysis
Race Cucasian/Hispanic/Asian/Black
Disease History N/A
Treatment History Neuraxial analgesia or anaesthesia
Group study cohort(CHD and or PAH)(Treatment) author's institutional cases(Control)
Number 65 N/A
Age 30 ± 7 years N/A
Gender (Male: Female) 0:65 Female
Marker Level 0.38 0.11