| Planned cesarean versus planned vaginal delivery at term: comparison of newborn infant outcomes. | |
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MedLine Citation:
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PMID: 16846577 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purpose of this study was to examine neonatal outcomes among women with a planned cesarean and a planned vaginal delivery at term. STUDY DESIGN: This prospective survey was conducted on 18,653 singleton deliveries that represent 24 maternity units during a 6-month period. The data were retrieved from the Medical Birth Registry of Norway and analyzed according to intended mode of delivery. RESULTS: Compared with planned vaginal deliveries, planned cesarean delivery increased transfer rates to the neonatal intensive care unit from 5.2% to 9.8% (P < .001). The risk for pulmonary disorders (transient tachypnea of the newborn infant and respiratory distress syndrome) rose from 0.8% to 1.6% (P = .01). There were no significant differences in the risks for low Apgar score and neurologic symptoms. CONCLUSION: A planned cesarean delivery doubled both the rate of transfer to the neonatal intensive care unit and the risk for pulmonary disorders, compared with a planned vaginal delivery. |
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Authors:
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Toril Kolås; Ola D Saugstad; Anne K Daltveit; Stein T Nilsen; Pål Øian |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2006-07-17 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 195 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2006 Dec |
Date Detail:
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Created Date: 2006-11-29 Completed Date: 2006-12-21 Revised Date: 2007-08-23 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 1538-43 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, Innlandet Hospital Trust, Lillehammer, Norway. toril.kolas@sykehuset-innlandet.no |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Apgar Score Cesarean Section* / adverse effects, statistics & numerical data Delivery, Obstetric / adverse effects, methods*, statistics & numerical data Female Humans Incidence Intensive Care Units, Neonatal / utilization Lung Diseases / epidemiology, etiology Patient Participation* Pregnancy Pregnancy Outcome* Prospective Studies Risk Assessment |
| Comments/Corrections | |
Comment In:
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Am J Obstet Gynecol. 2007 Aug;197(2):217; author reply 217
[PMID:
17689658
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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