| Increased rate of elective cesarean delivery and neonatal respiratory disorders in twin pregnancies. | |
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MedLine Citation:
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PMID: 20453421 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We examined whether the incidence of neonatal respiratory disorders has increased with the increased rate of elective cesarean delivery in twin pregnancies. We reviewed the obstetric records of 292 twin deliveries with vertex presentation of the first twin after 37 weeks' gestation at our hospital from 2000 through 2008. The study period was divided into 3 parts as follows: period 1: 2000 through 2002 (n=76); period 2: 2003 through 2005 (n=104); and period 3: 2006 through 2008 (n=112). We compared the rate of elective cesarean delivery due to maternal request and the incidence of transient tachypnea of the newborn (TTN). There has been a significant increase in rate of elective cesarean delivery (period 1: 18%; period 2: 25%; period 3: 48%) over the past several years. This increase was observed to be due to an increase in maternal requests for elective cesarean delivery. However, there were no significant differences in the incidence of TTN in the 3 periods [period 1: 7.2%; period 2: 6.7%; period 3: 8.0%]. The recent increase in the rate of cesarean delivery did not cause the increase in the incidence of neonatal respiratory disorders in twin pregnancies. |
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Authors:
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Shunji Suzuki; Eriko Yamashita; Yusuke Inde; Yoshie Hiraizumi; Misao Satomi |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of Nihon Medical School = Nihon Ika Daigaku zasshi Volume: 77 ISSN: 1345-4676 ISO Abbreviation: J Nihon Med Sch Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-05-10 Completed Date: 2010-07-20 Revised Date: 2011-08-01 |
Medline Journal Info:
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Nlm Unique ID: 100935589 Medline TA: J Nihon Med Sch Country: Japan |
Other Details:
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Languages: eng Pagination: 93-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, Tokyo, Japan. czg83542@mopera.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cesarean Section
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adverse effects,
statistics & numerical data* Chi-Square Distribution Diseases in Twins / epidemiology*, etiology Female Gestational Age Humans Incidence Infant, Newborn Infant, Newborn, Diseases / epidemiology*, etiology Japan / epidemiology Male Odds Ratio Pregnancy Respiration Disorders / epidemiology*, etiology Risk Assessment Risk Factors Surgical Procedures, Elective Time Factors Twins* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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