Mode of Delivery and Risk of Postpartum Rehospitalization

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Abstract
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.

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