No Association Between Surgeon Gender and Maternal Morbidity After Cesarean Delivery

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-01-31T10:00:20+05:30 | Updated On 4 Feb 2023 5:17 PM IST

Risks of postoperative maternal morbidity and of PPH exceeding 1000 mL or requiring transfusion by day 2 does not differ by the surgeon's gender suggests a recent study published in the JAMA Surgery

The stereotype that men perform surgery better than women is ancient. Surgeons have long been mainly men, but in recent decades an inversion has begun; the number of women surgeons is increasing, especially in obstetrics and gynecology. Studies outside obstetrics suggest that postoperative morbidity and mortality may be lower after surgery by women.

A study was condcuted to evaluate the association between surgeons’ gender and the risks of maternal morbidity and postpartum hemorrhage (PPH) after cesarean deliveries.

This prospective cohort study was based on data from the Tranexamic Acid for Preventing Postpartum Hemorrhage after Cesarean Delivery (TRAAP2) trial, a multicenter, randomized, placebo-controlled trial that took place from March 2018 through January 2020 (23 months). It aimed to investigate whether the administration of tranexamic acid plus a prophylactic uterotonic agent decreased PPH incidence after cesarean delivery compared with a uterotonic agent alone. Women having a cesarean delivery before or during labor at or after 34 weeks’ gestation were recruited from 27 French maternity hospitals. Self-reported gender (man or woman), assessed by a questionnaire immediately after delivery. The primary end point was the incidence of a composite maternal morbidity variable, and the secondary end point was the incidence of PPH (the primary outcome of the TRAAP2 trial), defined by a calculated estimated blood loss exceeding 1000 mL or transfusion by day 2.

Results

• Among 4244 women included, men surgeons performed 943 cesarean deliveries (22.2%) and women surgeons performed 3301 (77.8%).

• The rate of attending obstetricians was higher among men than women

• The risk of maternal morbidity did not differ for men and women surgeons: 119 of 837 (14.2%) vs 476 of 2928 (16.3%)

• Interaction between surgeon gender and level of experience on the risk of maternal morbidity was not statistically significant.

• Similarly, the groups did not differ for PPH risk

Risks of postoperative maternal morbidity and of PPH exceeding 1000 mL or requiring transfusion by day 2 did not differ by the surgeon's gender.

Reference:

Bouchghoul H, Deneux-Tharaux C, Georget A, et al. Association Between Surgeon Gender and Maternal Morbidity After Cesarean Delivery. JAMA Surg. Published online January 25,

2023. doi:10.1001/jamasurg.2022.7063

Keywords:

JAMA Surgery, Bouchghoul H, Deneux-Tharaux C, Georget A, Association, Between, Surgeon, Gender, Maternal, Morbidity, After, Cesarean,Delivery

JAMA SurgeryAssociationSurgeonGenderMaternalMorbidityCesareanDelivery

Source : JAMA Surgery

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751