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- W2027760628 abstract "The aim of this study was to assess the prevalence of severe maternal morbidity (SMM) as based on the Robson Ten Groups Classification system (TGCS). The National Maternity Hospital is a tertiary level unit with 9,000+ maternities per annum. SMM is prospectively reported and analysed based on either organ system (hepatic, cerebral, cardiac), complication (anaesthetic, hysterectomy, uterine rupture, anaesthetic) or on admission to an intensive care or coronary care unit. Cases from January 2007 to December 2011 were reviewed and assigned to the relevant TGCS group and reported as numbers/ per 1000 maternities. Between January 2007 and December 2011 there were 45,688 maternities, of which 156 met the criteria for major maternal morbidity, giving an overall rate of 3.1/1000 maternities, similar to our previous publication. Cases delivering in the first or second trimester (n=13) were excluded from this current analysis. The remaining 143 cases were classified as shown in Table 1. The highest prevalence of SMM was within Group 10 (preterm deliveries). Of the 51 maternities within this group, the majority of women were delivered as a result of the morbidity; the most common indication (n=26) being severe pre-eclampsia, eclampsia or HELLP syndrome. Maternities with multiple pregnancies or previous caesarean deliveries had higher prevalence of SMM compared to singleton, unscarred pregnancies. SMM prevalence within those undergoing induced labour was higher than those presenting in spontaneous labour, with no difference between the nulliparous and multiparous induced groups. The lowest rate of morbidity was found in women presenting in spontaneous labour. The TGCS system, already in use for comparison between units regarding caesarean delivery rates, can also be used to compare incidence of severe maternal morbidity. Most concerning is the SMM within multiparous women undergoing induction of labour, a group previously considered “low risk”.Tabled 1Severe maternal morbidity as analysed by the Robson Ten GroupsCS: Caesarean Section. Open table in a new tab" @default.
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- W2027760628 date "2014-01-01" @default.
- W2027760628 modified "2023-09-23" @default.
- W2027760628 title "413: Severe maternal morbidity as analysed using the Robson Ten Groups: prospective cohort study in a large tertiary level unit" @default.
- W2027760628 doi "https://doi.org/10.1016/j.ajog.2013.10.446" @default.
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