| Impact of cesarean section on neonatal mortality rates among very preterm infants in the United States, 2000-2003. | |
| | |
MedLine Citation:
|
PMID: 18676545 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: The objective of this analysis was to compare the neonatal mortality rates for infants delivered through primary cesarean section versus vaginal delivery, taking into consideration a number of potentially risk-modifying conditions. METHODS: US linked birth and infant death certificate files for 2000-2003 were used. Demographic, medical, and labor and delivery complications were abstracted from the files with infant information. The primary outcome examined was neonatal death (death at 0-27 days of age). Because of concern regarding misclassification of gestational age, a procedure was used to trim away births for which the birth weight for a specific gestational age was incongruous. Adjusted odds ratios were calculated for the risk of neonatal death relative to the mode of delivery (primary cesarean section versus vaginal delivery), using logistic regression analysis. RESULTS: There were data for 13,733 neonatal deaths and 106,809 survivors available from the trimmed data set for analysis for the 4-year period. More than 80% of pregnancies with delivery between 22 and 31 weeks of gestation experienced >or=1 risk factor. Adjusted odds ratios demonstrated significantly reduced risk of neonatal death for infants delivered through cesarean section at 22 to 25 weeks of gestation (adjusted odds ratios of 0.58, 0.52, 0.72, and 0.81 for 22, 23, 24, and 25 weeks, respectively). CONCLUSION: Cesarean section does seem to provide survival advantages for the most immature infants delivered at 22 to 25 weeks of gestation, independent of maternal risk factors for cesarean section. |
| | |
Authors:
|
Michael H Malloy |
Related Documents
:
|
23164435 - Dilated cardiomyopathy due to hypocalcaemic rickets: is it always a reversible condition? 19110225 - Neonatal and maternal outcomes associated with elective term delivery. 2771515 - Adenosine concentration in umbilical cord blood of newborn infants after vaginal delive... 12383525 - Maternal and perinatal morbidity associated with classic and inverted t cesarean incisi... 9011775 - Injuries and deaths associated with use of snowmobiles--maine, 1991-1996. 12645095 - Causes of electrical deaths and injuries among construction workers. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Pediatrics Volume: 122 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2008 Aug |
Date Detail:
|
Created Date: 2008-08-04 Completed Date: 2008-08-22 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
|
Languages: eng Pagination: 285-92 Citation Subset: AIM; IM |
Affiliation:
|
Department of Pediatrics, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555-0526, USA. mmalloy@utmb.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Birth Weight Case-Control Studies Cause of Death* Cesarean Section / adverse effects*, statistics & numerical data Confidence Intervals Death Certificates Female Gestational Age Humans Incidence Infant Mortality / trends* Infant, Newborn Infant, Premature Infant, Very Low Birth Weight* Male Odds Ratio Pregnancy Probability Registries Risk Assessment Sex Distribution United States / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Influence of having breakfast on cognitive performance and mood in 13- to 20-year-old high school st...
Next Document: Supplemental oxygen compromises the use of pulse oximetry for detection of apnea and hypoventilation...