Neonatal impact of elective repeat cesarean delivery at term: a comment on patient choice cesarean delivery.
retrospective_cohort · Level III
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Abstract
The object of this study was to compare neonatal outcomes of term uncomplicated pregnancies delivered by scheduled repeat cesarean with outcomes of babies born to mothers intending to deliver vaginally. This retrospective cohort study describes neonatal outcomes of term uncomplicated pregnancies. Neonates of mothers intending to deliver vaginally (n = 3134) are compared with neonates born by elective repeat cesarean delivery prior to labor (n = 117). Neonates born by elective repeat cesarean are more frequently admitted to advanced care nurseries than infants born to mothers intending to deliver vaginally (risk ratio 3.58, 95% confidence interval 3.35-3.58). The decision to undergo scheduled cesarean delivery appears to negatively impact immediate neonatal outcomes.
Medical subject headings
- Cesarean Section, Repeat
- Infant, Newborn, Diseases
- Intensive Care, Neonatal
- Patient Satisfaction