Objective: To determine whether patients who undergo cesarean section are at higher risk of complications than those who have a vaginal birth and to describe the complications observed. Subjects and methods: We reviewed the clinical records of 1017 patients who gave birth at the Materno- Vall d'Hebron Maternity and Child Hospital in the first trimester of 2007. Results: For a cesarean rate of 22%, the incidence of maternal complication was 18%, while for vaginal birth the incidence was 6% (RR 3.1, 95% CI 2.4-15.1). The most frequent complications were wound infection (7.5%), transfusions (5.3%) and hemorrhage (3.1%); endomyometritis was more common in the group with vaginal births (1.6% vs. 1.3%). Conclusions: Cesarean section is associated with a three times higher risk of complications than vaginal birth. The lower incidence of endomyometritis after cesarean sections may be a consequence of antibiotic prophylaxis, but further studies are required to draw firm conclusions on this topic. © 2008 Sociedad Española de Ginecología y Obstetricia.
- Early complications
- Vaginal Barth