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Research Letter
April 21, 2021

Decreasing Failure-to-Rescue From Severe Maternal Morbidity at Cesarean Delivery: Recent US Trends

Author Affiliations
  • 1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles
  • 2Norris Comprehensive Cancer Center, University of Southern California, Los Angeles
  • 3Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles
  • 4Department of Obstetrics and Gynecology, University of Freiburg, Freiburg, Germany
JAMA Surg. Published online April 21, 2021. doi:10.1001/jamasurg.2021.0600

Cesarean delivery is the most common major surgical procedure performed in the US,1 with approximately 1.2 to 1.3 million cases performed annually.2 The rate of cesarean delivery increased significantly from 24.4% to 32.9% between 2001 and 2009 and has recently remained higher than 30% (ranging from 31.9% to 32.0% from 2016 to 2018). Surgical mortality from cesarean delivery is overall low in the US, estimated at 12.7 deaths per 100 000 procedures between 2000 and 2006, which is lower compared with all-cause mortality in women aged 15 to 44 years (ranging from 42 to 136 per 100 000).3,4 Given recent population trends of increasing maternal age, obesity rates, and maternal morbidity,2,5 which may affect obstetric and surgical outcomes, updated mortality trends and statistics are important to monitor. This study examined recent national trends in patient characteristics and perioperative morbidity and mortality at time of cesarean delivery in the US.

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