Choose your font:
 Arimo
 Merriweather
 Mukta Malar
 Open Sans Condensed
 Rokkitt
 Source Sans Pro
 Login


 English 
 Français 
 Português 
 Español 

[Valid RSS] RSS
bar

Database - (CIANE)

Description of this bibliographical database (CIANE website)
Currently 3108 records
YouTube channel (tutorial)

https://ciane.net/id=2028

Created on : 14 Apr 2007
Modified on : 15 Jul 2018

 Modify this record
Do not follow this link unless you know an editor’s password!


Share: Facebook logo   Tweeter logo   Hard

Bibliographical entry (without author) :

Amniotic-fluid embolism and medical induction of labour: a retrospective, population-based cohort study. {Canada}. Lancet. 2006 Oct 21;368(9545):1399-401.

Author(s) :

Kramer MS, Rouleau J, Baskett TF, Joseph KS.

Year of publication :

2006

URL(s) :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=p…

Résumé (français)  :

Abstract (English)  :

BACKGROUND: Amniotic-fluid embolism is a rare, but serious and often fatal maternal complication of delivery, of which the cause is unknown. We undertook an epidemiological study to investigate the association between amniotic-fluid embolism and medical induction of labour.

METHODS: We used a population-based cohort of 3 million hospital deliveries in Canada between 1991 and 2002 to assess the associations between overall and fatal rates of amniotic-fluid embolism and medical and surgical induction, maternal age, fetal presentation, mode of delivery, and pregnancy and labour complications.

FINDINGS: Total rate of amniotic-fluid embolism was 14.8 per 100,000 multiple-birth deliveries and 6.0 per 100,000 singleton deliveries (odds ratio 2.5 [95% CI 0.9-6.2]). Of the 180 cases of amniotic-fluid embolism in women with singleton deliveries during the study period, 24 (13%) were fatal. We saw no significant temporal increase in occurrence of amniotic-fluid embolism for total or fatal cases. Medical induction of labour nearly doubled the risk of overall cases of amniotic-fluid embolism (adjusted odds ratio 1.8 [1.3-2.7]), and the association was stronger for fatal cases (crude odds ratio 3.5 [1.5-8.4]). Maternal age of 35 years or older, caesarean or instrumental vaginal delivery, polyhydramnios, cervical laceration or uterine rupture, placenta previa or abruption, eclampsia, and fetal distress were also associated with an increased risk.

INTERPRETATION: Medical induction of labour seems to increase the risk of amniotic-fluid embolism. Although the absolute excess risk is low, women and physicians should be aware of this risk when making decisions about elective labour induction.

Sumário (português)  :

Resumen (español)  :

Full text (private) :

 ➡ Access requires authorization

Comments :

Argument (français) :

L’embolie est rare, mais souvent mortelle. Le déclenchement de l’accouchement est associé à un risque deux fois plus élévé de survenue d’une embolie.

Argument (English):

Embolism is rare, but often fatal. The onset of delivery is associated with a risk twice as high of an embolism.

Argumento (português):

Embolia é rara, mas freqüentemente fatal. O início do parto está associado ao dobro do risco de embolia.

Argumento (español):

Keywords :

➡ placenta previa/accreta ; induction of labor ; post-term pregnancy ; eclampsia (pre-) ; instrumental delivery ; perinatal death rates

Author of this record :

Cécile Loup — 14 Apr 2007
➡ latest update : Bernard Bel — 15 Jul 2018

Discussion (display only in English)
 
➡ Only identified users



 I have read the guidelines of discussions and I accept all terms (read guidelines)

barre

New expert query --- New simple query

Creating new record --- Importing records

User management --- Dump database --- Contact

bar

This database created by Alliance francophone pour l'accouchement respecté (AFAR) is managed
by Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting CIANE (see below)
(3) or joining any society affiliated with CIANE.
Sign in or create an account to follow changes or become an editor.
Contact bibli(arobase)ciane.net for more information.

Valid CSS! Valid HTML!
Donating to CIANE (click “Faire un don”) will help us to maintain and develop sites and public
databases towards the support of parents and caregivers’ informed decisions with respect to childbirth