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Early neonatal outcomes: study shows elective cesarean riskier than vaginal delivery.(Obstetrics)
NEW ORLEANS -- Neonates born by elective cesarean section are at greater risk of poor outcomes than those born vaginally, and are also at greater risk than those born to women who intended to deliver vaginally but were converted to operative vaginal or cesarean delivery, according to a large retrospective cohort analysis.
Early neonatal outcomes were better among 3,134 patients who intended to deliver vaginally than among 117 patients who underwent elective cesarean delivery before the onset of labor, Dr. Nicholas S. Fogelson reported in a poster presentation at the annual meeting of the Society for Maternal-Fetal Medicine.
Of the 3,134 patients who presented in labor and intended to deliver vaginally, 2,524 did so without operative intervention, 285 underwent intrapartum cesarean delivery, and 325 underwent operative vaginal delivery. About 5% of neonates from the intended vaginal delivery group were admitted to an advanced care nursery, compared with 14% of those from the elective cesarean group (relative risk 3.58), said Dr. Fogelson of the Medical University of South Carolina, Charleston.
Transient tachypnea occurred in 2% of those in the intended vaginal delivery group, compared with 6% of those in the ...
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Source: HighBeam Research, Early neonatal outcomes: study shows elective cesarean riskier than...