Document Detail


Influence of labor and route of delivery on the frequency of respiratory morbidity in term neonates.
MedLine Citation:
PMID:  7904952     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The purpose of this study is to compare the frequency of respiratory morbidity (RDS-Type I, RDS-Type II and PFC) in term neonates relative to three different delivery modes (cesarean delivery without labor, cesarean in labor, vaginal delivery). METHODS: A case-control study was performed consisting of 692 maternal/neonate pairs at term gestation with either a documented mature lung profile at an obstetrical age > or = 37 weeks' gestation or a Dubowitz age > or = 38 weeks' gestation. RESULTS: Overall, the frequency of neonatal respiratory morbidity was 5.1%. Neonatal respiratory morbidity was observed in 23 (12.4%) of 186 cases when cesarean delivery was performed prior to the onset of labor; in 10 (5.6%) of 177 cases when the cesarean delivery was performed after labor had ensued; and in 2 (0.6%) of 329 cases when the fetus was delivered vaginally (P < 0.001). CONCLUSION: The frequency of respiratory morbidity in term neonates is influenced by labor and route of delivery, and it is highest when cesarean delivery is performed prior to the onset of labor.
Authors:
K A Hales; M A Morgan; G R Thurnau
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  43     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  1993 Oct 
Date Detail:
Created Date:  1994-02-25     Completed Date:  1994-02-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  35-40     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Oklahoma College of Medicine, Oklahoma City.
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Cesarean Section*
Delivery, Obstetric*
Female
Gestational Age
Humans
Infant, Newborn
Labor, Obstetric*
Morbidity
Pregnancy
Respiratory Distress Syndrome, Newborn / epidemiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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