Document Detail


Impact of mode of delivery on neonatal complications: trends between 1997 and 2005.
MedLine Citation:
PMID:  19504405     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study examined whether rates of selected neonatal complications vary by mode of delivery and whether these rates are changing as a result of the increasing cesarean delivery rate. METHOD: Birth certificates in New Jersey from 1997 to 2005 were matched to hospital discharge records for mothers and newborns. RESULTS: In New Jersey, the total cesarean section rate for 2005 was 35.3%, a relative increase of 46% since 1997 (from 24.2%). Rates of transient tachypnea of the newborn (TTN) and respiratory distress syndrome (RDS), regardless of mode of delivery, increased between 1997 and 2005 from 3.3 to 3.9% and 2.1 to 2.4%, respectively. Newborn injuries declined sharply (from 4.1 to 2.6%), whereas intra-ventricular hemorrhage (IVH) rates remained stable. The rates of RDS, TTN and IVH were highest for cesarean delivery without trial of labor, while the rate of injuries was highest for instrumental vaginal delivery. CONCLUSION: Neonatal complication rates varied by mode of delivery and decreased with gestational age.
Authors:
Neetu J Jain; Lakota K Kruse; Kitaw Demissie; Meena Khandelwal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  22     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-16     Completed Date:  2009-08-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  491-500     Citation Subset:  IM    
Affiliation:
New Jersey Department of Health and Senior Services, MCH Epidemiology Program, Trenton, New Jersey 08625-0364, USA. jainnj@umdnj.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Delivery, Obstetric / methods*,  statistics & numerical data
Female
Forecasting
Gestational Age
Humans
Incidence
Infant, Newborn
Infant, Newborn, Diseases / epidemiology*,  etiology
Obstetric Labor Complications / epidemiology*
Pregnancy
Young Adult

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