Abstract
Objective:
To determine whether planned route of delivery leads to differences in neonatal morbidity.
Study Design:
Analysis was based on planned route of delivery, not actual route of delivery. A total of 4048 subjects were divided into two groups: planned vaginal delivery and planned cesarean delivery. Primary outcomes were neonatal intensive care unit (NICU) admission, respiratory morbidity and neurologic morbidity.
Result:
There were 3868 planned vaginal and 180 planned cesarean deliveries. Planned vaginal delivery had decreased NICU admission (P<0.0001), oxygen resuscitation (P=0.001) and jaundice (P<0.0001) but increased meconium passage (P<0.0001) and 1 min Apgar ⩽5 (P=0.02). After multivariable regression, NICU admission remained lower and meconium passage remained higher in the planned vaginal group.
Conclusion:
Planned vaginal delivery led to more meconium passage and low 1 min Apgar but less NICU admissions, oxygen resuscitation and jaundice. Multicenter trials are needed to assess rare but serious outcomes based on planned route of delivery.
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Geller, E., Wu, J., Jannelli, M. et al. Neonatal outcomes associated with planned vaginal versus planned primary cesarean delivery. J Perinatol 30, 258–264 (2010). https://doi.org/10.1038/jp.2009.150
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DOI: https://doi.org/10.1038/jp.2009.150
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