title: Caesarean section: impact on mother and child.
abstract: Maternal/foetal morbidity/mortality consequent to uterine rupture, placenta previa/increta and stillbirth may occur in repeat caesarean section (CS). Elective CS before 39 weeks increases respiratory complications, hypoglycaemia, sepsis and intensive care unit admissions. Different gut colonization in neonates born by CS accounts for increased incidence of food allergy, asthma and possibly type 1 diabetes. Epigenetic changes might be responsible - among others - for childhood malignancies.
  
  
  CONCLUSIONS
  Decision for primary CS should take into consideration possible maternal/neonatal complications.
authors.affiliation: Neonatal Division, Second Department of Obstetrics and Gynecology, University of Athens, Athens, Greece.
authors.forename: T
authors.initials: T
authors.lastname: Boutsikou
authors.forename: A
authors.initials: A
authors.lastname: Malamitsi-Puchner
mesh_terms: D002585:Cesarean Section / Q000009:adverse effects* / Q000639:trends; D003922:Diabetes Mellitus, Type 1 / Q000209:etiology; D044127:Epigenesis, Genetic; D005260:Female; D005865:Gestational Age; D006801:Humans; D006967:Hypersensitivity / Q000209:etiology; D007231:Infant, Newborn; D009369:Neoplasms / Q000209:etiology; D007744:Obstetric Labor Complications; D010923:Placenta Previa / Q000209:etiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D012131:Respiratory Insufficiency / Q000209:etiology; D050497:Stillbirth; D014597:Uterine Rupture / Q000209:etiology