| Neonatal respiratory morbidity and mode of delivery in a population-based study of low-risk pregnancies. | |
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MedLine Citation:
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PMID: 19274494 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Sara Farchi; Domenico Di Lallo; Francesco Franco; Arianna Polo; Renato Lucchini; Flaminia Calzolari; Mario De Curtis |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta obstetricia et gynecologica Scandinavica Volume: 88 ISSN: 1600-0412 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 2009 |
Date Detail:
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Created Date: 2009-05-21 Completed Date: 2009-06-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: Denmark |
Other Details:
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Languages: eng Pagination: 729-32 Citation Subset: IM |
Affiliation:
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Public Health Agency, Lazio region, Rome, Italy. farchi@asplazio.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section / adverse effects*, statistics & numerical data Cohort Studies Female Humans Infant, Newborn Italy Lung Diseases / epidemiology*, etiology Male Morbidity Pregnancy Respiratory Distress Syndrome, Newborn |
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