| Mode of delivery and risk of respiratory diseases in newborns. | |
| | |
MedLine Citation:
|
PMID: 11239653 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To determine whether there is an increased incidence of persistent pulmonary hypertension in neonates delivered by cesarean, with or without labor, compared with those delivered vaginally. METHODS: We did a computerized retrospective review of 29,669 consecutive deliveries over 7 years (1992-1999). The incidences of persistent pulmonary hypertension of the newborn, transient tachypnea of the newborn, and respiratory distress syndrome (RDS) were tabulated for each delivery mode. Cases of persistent pulmonary hypertension were reviewed individually to determine delivery method and whether labor had occurred. The three groups defined were all cesarean deliveries, all elective cesareans, and all vaginal deliveries. RESULTS: Among 4301 cesareans done, 17 neonates had persistent pulmonary hypertension (four per 1000 live births). Among 1889 elective cesarean deliveries, seven neonates had persistent pulmonary hypertension (3.7 per 1000 live births). Among 21,017 vaginal deliveries, 17 neonates had persistent pulmonary hypertension (0.8 per 1000 live births). chi2 analysis showed an odds ratio 4.6 and P <.001 for comparison of elective cesarean and vaginal delivery for that outcome. CONCLUSION: The incidence of persistent pulmonary hypertension of the newborn was approximately 0.37% among neonates delivered by elective cesarean, almost fivefold higher than those delivered vaginally. The findings have implications for informed consent before cesarean and increased surveillance of neonates after cesarean. |
| | |
Authors:
|
E M Levine; V Ghai; J J Barton; C M Strom |
Related Documents
:
|
23445853 - Nutritional requirements and feeding recommendations for small for gestational age infa... 3746793 - Effects of cesarean section on fertility and abortions. 14558043 - Thermal benefit of sibling presence in the newborn rabbit. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Obstetrics and gynecology Volume: 97 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2001 Mar |
Date Detail:
|
Created Date: 2001-03-12 Completed Date: 2001-04-05 Revised Date: 2009-10-26 |
Medline Journal Info:
|
Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
|
Languages: eng Pagination: 439-42 Citation Subset: AIM; IM |
Affiliation:
|
Department of Obstetrics & Gynecology, Illinois Masonic Medical Center, Chicago, Illinois 60657, USA. infodoc@immc.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Chicago
/
epidemiology Delivery, Obstetric / adverse effects* Female Humans Hypertension, Pulmonary / epidemiology*, etiology Incidence Infant, Newborn Male Odds Ratio Pregnancy Respiratory Distress Syndrome, Newborn / epidemiology*, etiology Retrospective Studies Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Randomized double-masked comparison of radially expanding access device and conventional cutting tip...
Next Document: Prenatal diagnosis of congenital cytomegalovirus infection.