Comparative Neonatal Morbidity of Abdominal and Vaginal Deliveries After Uncomplicated Pregnancies

Dj, Annibale; Tc, Hulsey; Cl, Wagner; Wm, Southgate

doi:10.1001/archpedi.1995.02170210036006

Cited by 80 publications

(59 citation statements)

References 19 publications

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“…The number needed to treat equals 35 (LOE 4 159,160 ). Five retrospective studies showed that delivery by cesarean section at term under regional anesthesia did not increase the risk of requirement for intubation during neonatal resuscitation compared with unassisted vaginal birth (LOE 4 161,162 ).…”

Section: Consensus On Sciencementioning

confidence: 99%

Part 11: Neonatal Resuscitation

Perlman¹,

Wyllie²,

Kattwinkel³

et al. 2010

Circulation

561

358

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Section: Consensus On Sciencementioning

confidence: 99%

Part 11: Neonatal Resuscitation

Perlman¹,

Wyllie²,

Kattwinkel³

et al. 2010

Circulation

561

358

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“…7,10,32,40,42,47,50,53,58,59,62,75,77,85,86,89,94,96,97,109,116,117,125,127,135,137 In contrast, however, the incidence of birth asphyxia, trauma, and meconium aspiration is lower, and these advantages of elective cesarean delivery have been reviewed elsewhere in this issue of Clinics.…”

Section: Respiratory Morbidity In Infants Delivered By Cesarean Deliverymentioning

confidence: 99%

“…Accurate data about the occurrence of respiratory failure and long-term outcomes in term and near-term infants are hard to obtain because of the lack of large databases such as those available for preterm infants; however, it is estimated that a significant number of term infants delivered by ECS are admitted to neonatal intensive care units each year in the US 9 with the diagnosis of transient tachypnea of the newborn, 10,40,46,54,59,64,77,81,97,114,115,136 respiratory distress syndrome, 40,59,64,77,81,114,136 and severe persistent pulmonary hypertension of the newborn (PPHN)/hypoxic respiratory failure. 59,62,75,117 Some of these reports also show higher rates of mechanical ventilation, oxygen therapy, extra corporeal membrane oxygenation (ECMO), and death.…”

Section: Respiratory Morbidity In Infants Delivered By Cesarean Deliverymentioning

confidence: 99%

Elective Cesarean Section: Its Impact on Neonatal Respiratory Outcome

Ramachandrappa¹,

Jain²

2008

Clinics in Perinatology

157

108

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The transition from a fluid filled lung to one filled with air in a very short period of time is one of the biggest challenges a newborn faces after birth. Respiratory morbidity as a result of failure to clear fetal lung fluid is not uncommon, and can be particularly problematic in some infants delivered by elective cesarean section (ECS) without being exposed to labor. The increasing rates of cesarean deliveries in the United States and worldwide, have the potential for a significant impact on public health and health care costs due to the morbidity associated with this subgroup. Whereas the occurrence of birth asphyxia, trauma, and meconium aspiration is reduced by elective cesarean delivery, the risk of respiratory distress secondary to transient tachypnea of the newborn, surfactant deficiency, and pulmonary hypertension is increased. It is clear that physiologic events in the last few weeks of pregnancy coupled with the onset of spontaneous labor are accompanied by changes in the hormonal milieu of the fetus and its mother, resulting in preparation of the fetus for neonatal transition. Rapid clearance of fetal lung fluid is a key part of these changes, and is mediated in large part by transepithelial sodium reabsorption through amiloride-sensitive sodium channels in the alveolar epithelial cells, with only a limited contribution from mechanical factors and Starling forces. In this chapter we discuss the respiratory morbidity associated with ECS, the physiologic mechanisms underlying fetal lung fluid absorption and potential strategies for facilitating neonatal transition when infants are delivered by ECS before the onset of spontaneous labor. The changing landscape for human deliveriesCesarean births rose for an tenth straight year in 2006 to a record 31.1% of all deliveries in the United States; this rate is more than 50% higher than in 1996 and is accompanied by a significant drop in the number of women attempting vaginal birth after a previous cesarean delivery (VBAC). 56 ( Fig. 1) Most of the overall increase can be attributed to the increase in the primary cesarean rates, from 14.6% in 1996 to 20.3% in 2005. This rise in the primary cesarean rate coupled with the decrease in the VBAC rate (7.9% in 2005) means that women who have a primary cesarean section have a greater than 90% chance of having a repeat cesarean section, further increasing the overall cesarean rate in the future. 90 Among the many reasons cited for this increase are older women giving birth, multiple gestations from fertility treatments, as well as the concerns of physicians and mothers about the risks of vaginal birth. Cesarean births in low risk or "no risk" mothers where no medical indication can be identified are on the rise and are often referred to as Cesarean Delivery at Maternal Request (CDMR).Address for Correspondence and Reprints: Lucky Jain, MD, MBA, Professor of Pediatrics & Executive Vice Chairman, Emory University School of Medicine, 2015 Uppergate Drive, Atlanta GA 30322, ljain@emory.edu, 404-727-1471. Coauthor...

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“…35,36 Respiratory distress syndrome and transient tachypnea in the newborn are more common after delivery by caesarean section. 37 This is particularly so if the woman has not laboured. In addition, elective caesarean sections are scheduled based on the expected date of delivery (EDD).When the EDD is uncertain, a proportion of caesarean sections may inadvertently be performed prematurely, resulting in a further increase in neonatal respiratory complications.…”

Section: Neonatal Considerationmentioning

confidence: 99%

Review of Cesarean Section on Maternal Request in a Tertiary Care Institute; Scenario in Developing Country

Panda

Jha

Singh

2015

Kathmandu Univ. Med. J.

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Mother requesting of caesarean reflects a belief among society that elective caesarean safer than vaginal delivery in term of fetus and mother. Although the study data neglecting the facts other skewed part in this issue is consideration of resources, as in developing countries, where maternal mortality is still high due to lack of adequate resources. Mother coming to obstetrician with mother's request should individualize in every case considering mother's argument, society and evidence base guideline.

show abstract

Comparative Neonatal Morbidity of Abdominal and Vaginal Deliveries After Uncomplicated Pregnancies

Cited by 80 publications

References 19 publications

Part 11: Neonatal Resuscitation

Part 11: Neonatal Resuscitation

Elective Cesarean Section: Its Impact on Neonatal Respiratory Outcome

Review of Cesarean Section on Maternal Request in a Tertiary Care Institute; Scenario in Developing Country

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