Infant outcome worse with planned c-section
NEW YORK, Jan 9 (Reuters) Newborns who are delivered via planned cesarean section are more likely to be transferred to the neonatal intensive care unit and to experience lung disorders compared with those delivered via planned vaginal delivery, according to findings published in the American Journal of Obstetrics and Gynecology.
''The appropriateness of the rising rate of cesarean delivery worldwide has been debated widely,'' Dr. Toril Kolas, of Innlandet Hospital Trust, Lillehammer, Norway, and colleagues write.
The researchers examined the outcome of deliveries during a 6-month period, along with data from the Medical Birth Registry of Norway on intended mode of delivery.
Of the 18,653 deliveries, 17,828 were planned vaginal deliveries and 825 were planned cesarean deliveries.
Rates of transfer to the neonatal intensive care unit were 5.2 per cent for planned vaginal deliveries, significantly lower than the 9.8 per cent for planned cesarean deliveries. Lung disorders were also significantly lower in the planned vaginal delivery group (0.8 per cent) than in the cesarean delivery group (1.6 per cent).
No significant differences were observed in the risks of low Apgar score or neurological symptoms.
''For
the
child,
the
stress
of
vaginal
delivery
seems
superior
to
elective
cesarean
delivery
in
many
situations,''
Kolas
and
colleagues
conclude.
''Therefore,
we
emphasize
the
importance
of
limiting
planned
cesarean
deliveries
to
cases
with
proven
benefit
for
the
mother
and/or
child,''
they
write.
''When
a
planned
cesarean
delivery
is
chosen,
the
operation
should
be
as
close
to
term
as
possible.''
Reuters
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