Document Detail

Neonatal respiratory morbidity and mode of delivery in a population-based study of low-risk pregnancies.
MedLine Citation:
PMID:  19274494     Owner:  NLM     Status:  MEDLINE    
The aim of this study is to evaluate the association between the mode of delivery and the risk of neonatal respiratory complications in a cohort of term newborns in the Lazio region, Italy. Data on 139,379 term singleton infants born in 2003-2005 were retrieved from birth and hospital discharge database. Odds Ratios (ORs) adjusted by age, parity, birth weight, gestational age, and gender were calculated using logistic regression models. The rate of prelabor cesarean section (CS) was 26.2%. The rates of neonatal respiratory morbidity were 29.6/1,000 in infants delivered by prelabor CS and 17.4/1,000 in infants delivered vaginally or by CS in labor. The adjusted risk of neonatal respiratory morbidity associated with prelabor cesarean birth at 37 weeks is four times higher than in intended vaginal birth after 37 weeks. Prelabor cesarean delivery should be performed after at least 38 weeks' of gestation in order to minimize neonatal respiratory morbidity.
Sara Farchi; Domenico Di Lallo; Francesco Franco; Arianna Polo; Renato Lucchini; Flaminia Calzolari; Mario De Curtis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  88     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2009  
Date Detail:
Created Date:  2009-05-21     Completed Date:  2009-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  729-32     Citation Subset:  IM    
Public Health Agency, Lazio region, Rome, Italy.
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MeSH Terms
Cesarean Section / adverse effects*,  statistics & numerical data
Cohort Studies
Infant, Newborn
Lung Diseases / epidemiology*,  etiology
Respiratory Distress Syndrome, Newborn

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