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Effect of prior cesarean delivery on neonatal outcomes
-
Haim A. Abenhaim
und
Alice Benjamin
Veröffentlicht/Copyright:
23. März 2011
Abstract
Aims: To examine the effect of a prior cesarean delivery on neonatal outcomes.
Methods: We conducted a retrospective cohort study on all women with a prior livebirth who delivered at the Royal Victoria Hospital between 2001 and 2006. We defined our exposure as a positive history for cesarean delivery and used unconditional logistic regression analysis to estimate the adjusted effect of a previous cesarean delivery on adverse neonatal outcomes.
Results: A total of 18,673 births took place of which 9708 were in women with a prior livebirth (77.0% with no previous cesarean delivery and 23.0% with a previous cesarean delivery). As compared to newborns delivered by mothers with no prior cesarean delivery, increasing number of prior cesarean deliveries was associated with an increasing risk of preterm birth [odds ratio (OR) 1.23, 95% confidence interval (CI) 1.09–1.39]; respiratory distress syndrome (OR 3.54, 95% CI 2.02–5.91); and admission to the neonatal intensive care unit (OR 1.41, 95% CI 1.25–1.60). These findings were predominantly due to differences in gestational age and mode of delivery.
Conclusion: Having a prior cesarean delivery is associated with an increased risk of adverse neonatal outcomes. Adverse neonatal outcomes in subsequent pregnancies is additional evidence to suggest that unless specifically indicated, cesarean delivery should be avoided.
Keywords: Cesarean delivery; neonatal intensive care; previous cesarean delivery; respiratory distress syndrome
Received: 2010-7-20
Revised: 2010-10-7
Accepted: 2010-10-21
Published Online: 2011-03-23
Published in Print: 2011-05-01
©2011 by Walter de Gruyter Berlin New York
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Schlagwörter für diesen Artikel
Cesarean delivery;
neonatal intensive care;
previous cesarean delivery;
respiratory distress syndrome
Artikel in diesem Heft
- Publisher’s Note
- Publisher’s Note
- EDITORIAL
- Problems in prevention of preterm birth – regrettable contradictions
- REVIEW ARTICLES
- Listeriosis in human pregnancy: a systematic review
- Prevention of prematurity by single embryo transfer
- ORIGINAL ARTICLES - OBSTETRICS
- Effect of prior cesarean delivery on neonatal outcomes
- Amniotic lamellar body counts can predict the occurrence of respiratory distress syndrome as well as transient tachypnea of the newborn (TTN)
- Spectrum of cardiovascular findings during pregnancy and parturition at a tertiary referral center
- Risk groups and maternal-neonatal complications of preeclampsia – Current results from the national German Perinatal Quality Registry
- miRNA expression profiling in formalin-fixed and paraffin-embedded placental tissue samples from pregnancies with severe preeclampsia
- Genetic polymorphisms of killer cell immunoglobulin-like receptor 3DL2 in preeclampsia
- Addressing concerns about cisplatin application during pregnancy
- Retinol-binding protein-4 is decreased in patients with preeclampsia in comparison with normal pregnant women
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- Prediction of successful labor induction by evaluation of maternal symptoms at an early stage of the misoprostol induction protocol
- ORIGINAL ARTICLES - FETUS
- Increased nuchal translucency is associated with large for gestational age neonates in singleton pregnancies
- ORIGINAL ARTICLES - NEWBORN
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- Neonatal outcome of preterm discordant twins
- Effects of delayed umbilical cord clamping on peripheral blood hematopoietic stem cells in premature neonates
- In utero exposure to Ureaplasma spp. is associated with increased rate of bronchopulmonary dysplasia and intraventricular hemorrhage in preterm infants
- Does prenatal antibiotic therapy compromise the diagnosis of early-onset infection and management of the neonate?
- SNAPPE-II application in newborns with very low birth weight: evaluation of adverse outcomes in severe placental dysfunction
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- Calendar
- Congress Calendar
