Table 1.

Maternal Perinatal Complications

Elective
Cesarean Section
Trial of
Labor
Routine Vaginal
Delivery
P*
n = 497n = 492n = 989
Intrapartum course (n, %)
 Induction of labor74 (15)164 (17)NS
 Pitocin augmentation of labor177 (36)382 (39)NS
 Internal fetal monitoringa,b,c2 (0.4)215 (44)314 (32)<.0001
 Spontaneous rupture of membranesa,b36 (7)207 (43)400 (41)<.0001
Intrapartum complications (n, %)
 Rupture of membranes >18 hrsa,b3 (1)27 (6)37 (4)<.0002
 Poor progress of laborc91 (18)53 (5)<.0002
 Maternal fever >38°a,b,c038 (8)22 (2)<.0002
 Meconium stained amniotic fluida,b,c34 (7)125 (25)198 (20)<.0001
 Fetal distressa,b,c9 (2)101 (21)110 (11)<.0001
 Uterine rupture/dehiscencea,c1 (0.2)7 (1)0<.002
 Length of hospital stay (days, mean ± SD)a,b,c4.5 ± 13.6 ± 13.0 ± 1<.0002
  • * Overall difference among the groups.

  • Duration of labor >20 hr, delay in fetal descent or cervical dilation.

  • Fetal bradycardia, tachycardia, late decelerations, and absent or decreased variability.

    a ERCS vs trial of labor, P < .05;b ERCS versus vaginal control, P < .05;c Trial of labor vs vaginal control, P < .05.

    NS, Not significant.