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Review
. 2008 Jun;35(2):361-71, vi.
doi: 10.1016/j.clp.2008.03.009.

Neonatal morbidity and mortality after elective cesarean delivery

Caroline Signore  1 , Mark Klebanoff
Affiliations
Review

Neonatal morbidity and mortality after elective cesarean delivery

Caroline Signore et al. Clin Perinatol. 2008 Jun.

Abstract

This article explores the effects of elective cesarean delivery (ECD) at term on neonatal morbidity and mortality. Available data have limitations, and do not provide conclusive evidence regarding the safety of planned ECD versus planned vaginal delivery. Some data suggest an association between ECD and increased neonatal respiratory morbidity and lacerations, and possibly decreased central and peripheral nervous system injury. Potentially increased risks of neonatal mortality with ECD at term may be counterbalanced by risks for fetal demise in ongoing pregnancies. Patients and physicians considering ECD should review competing risks and benefits; further research is needed to inform these discussions.

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Figures

Figure 1
Figure 1. Estimated perinatal deaths associated with elective cesarean delivery versus expectant management, by gestational age
Perinatal mortality increases for both modes of delivery as gestational age decreases below 39 weeks. At 37 weeks’ gestation, more perinatal deaths would be expected with elective cesarean delivery than with expectant management. Adapted from Signore C, Hemachandra A, Klebanoff M. Neonatal mortality and morbidity after elective cesarean delivery versus routine expectant management: a decision analysis. Semin Perinatol. 2006;30:288–295, with permission.
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