title: Neonatal impact of elective repeat cesarean delivery at term: a comment on patient choice cesarean delivery.
abstract: OBJECTIVE
  The object of this study was to compare neonatal outcomes of term uncomplicated pregnancies delivered by scheduled repeat cesarean with outcomes of babies born to mothers intending to deliver vaginally.
  
  
  METHODS
  This retrospective cohort study describes neonatal outcomes of term uncomplicated pregnancies. Neonates of mothers intending to deliver vaginally (n = 3134) are compared with neonates born by elective repeat cesarean delivery prior to labor (n = 117).
  
  
  RESULTS
  Neonates born by elective repeat cesarean are more frequently admitted to advanced care nurseries than infants born to mothers intending to deliver vaginally (risk ratio 3.58, 95% confidence interval 3.35-3.58).
  
  
  CONCLUSIONS
  The decision to undergo scheduled cesarean delivery appears to negatively impact immediate neonatal outcomes.
authors.affiliation: Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC, USA. fogelson@musc.edu
authors.forename: Nicholas S
authors.initials: NS
authors.lastname: Fogelson
authors.forename: M Kathryn
authors.initials: MK
authors.lastname: Menard
authors.forename: Thomas
authors.initials: T
authors.lastname: Hulsey
authors.forename: Myla
authors.initials: M
authors.lastname: Ebeling
mesh_terms: D001034:Apgar Score; D002585:Cesarean Section; D017604:Cesarean Section, Repeat; D015331:Cohort Studies; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000628:therapy*; D015931:Intensive Care, Neonatal / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D011247:Pregnancy; D012120:Respiration Disorders / Q000453:epidemiology; D012189:Retrospective Studies