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To the Editor: A recent study¹ in Washington State found that cesarean and instrumental delivery increased the risks of maternal postpartum rehospitalization among primiparous women. The generalizability of the findings to women of greater parity and in other geographic areas is unknown. Furthermore, the relative risks associated with vacuum delivery remain unknown.¹ Vacuum delivery is considered by some to be relatively safe compared with forceps²; thus, the reported increased risk of rehospitalization among women with instrumental vaginal deliveries may have been primarily due to the use of the latter. We sought to estimate and compare the risks of rehospitalization following cesarean, forceps-assisted, vacuum-assisted, and spontaneous vaginal deliveries among residents of a major urban area in the northeastern United States.

Methods

The data source for the study was the Philadelphia Perinatal Database. The database, which has been described elsewhere,³ contains merged elements from hospital discharge and birth certificate records for 85% . . . [Full Text of this Article]

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Rates of Cesarean Delivery Among Puerto Rican Women--Puerto Rico and the U.S. Mainland, 1992-2002
JAMA 2006;295:1369-1371.
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