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Comparative Study
. 2006 Dec;195(6):1538-43.
doi: 10.1016/j.ajog.2006.05.005. Epub 2006 Jul 17.

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

Toril Kolås  1 , Ola D Saugstad, Anne K Daltveit, Stein T Nilsen, Pål Øian
Affiliations
Comparative Study

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

Toril Kolås et al. Am J Obstet Gynecol. 2006 Dec.

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.

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