Neonatal impact of elective repeat cesarean delivery at term: a comment on patient choice cesarean delivery.
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.
Fogelson
Nicholas S
NS
Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC, USA. fogelson@musc.edu
Menard
M Kathryn
MK
Hulsey
Thomas
T
Ebeling
Myla
M
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