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Am J Obstet Gynecol. 2006 Dec;195(6):1538-43. Epub 2006 Jul 17.

Planned cesarean versus planned vaginal delivery at term: comparison of newborn infant outcomes.

Author information

  • 1Department of Obstetrics and Gynecology, Innlandet Hospital Trust, Lillehammer, Norway. toril.kolas@sykehuset-innlandet.no

Abstract

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.

Comment in

PMID:
16846577
[PubMed - indexed for MEDLINE]
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