Influence of the mode of delivery on maternal and neonatal outcomes: a comparison between elective cesarean section and planned vaginal delivery in a low-risk obstetric population

Bodner‐Adler, Barbara; Wierraní, F.; Grünberger, W

doi:10.1007/s00404-010-1525-y

Cited by 89 publications

(57 citation statements)

References 21 publications

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“…29,30 The results of our study showed that after adjustment for background characteristics, the risk of bleeding complication was more than doubled in the elective caesarean section group and doubled in the emergency caesarean section group. Bodner et al 31 reports similar results from a comparative study between elective caesarean section and planned vaginal delivery in a low-risk population. Increased maternal morbidity included more frequent blood loss (>500 ml) and puerperal febrile morbidity with a significant increased use of antibiotics, iron supplementation and analgesics, as well as prolonged hospital stay.…”

Section: Discussionmentioning

confidence: 73%

Maternal and infant outcome after caesarean section without recorded medical indication: findings from a Swedish case–control study

Karlström

Lindgren

Hildingsson

2013

BJOG

134

109

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Objective To compare maternal complications and infant outcomes for women undergoing elective caesarean sections based on a maternal request and without recorded medical indication with those of women who underwent spontaneous onset of labour with the intention to have a vaginal birth.Design Retrospective register study.Setting Sweden; Medical Birth Register used for data collection.Methods A case-control study of 5877 birth records of women undergoing caesarean sections without medical indication and a control group of 13 774 women undergoing births through spontaneous onset of labour. The control group was further divided into women who actually had a vaginal birth and women who ended up with an emergency caesarean section.Results Maternal complications occurred more frequently among women undergoing caesarean section with odds ratios (OR) for bleeding complications of 2.5 (95% CI 2.1-3.0) in the elective caesarean group and 2.0 (95% CI 1.5-2.6) in the emergency caesarean group. The OR for infections was 2.6 in both groups. Breastfeeding complications were most common in women having an elective caesarean section: 6.8 (95% CI 3.2-14.5). Infant outcomes showed a higher incidence of respiratory distress with an OR of 2.7 (95% CI 1.8-3.9) in the elective caesarean section group compared with infants born by emergency caesarean section. The risk of hypoglycaemia was at least twice as high for infants in the caesarean group.Conclusions Caesarean sections without medical indication as well as emergency caesarean sections were associated with higher risks for maternal and infant morbidity.

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Section: Discussionmentioning

confidence: 73%

Maternal and infant outcome after caesarean section without recorded medical indication: findings from a Swedish case–control study

Karlström

Lindgren

Hildingsson

2013

BJOG

134

109

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“…The classifying diagnoses and reasons with accompanying hospital visit dates were registered with ICD‐10‐AM‐codes. Short‐term adverse health outcomes included jaundice, feeding problems, and hypothermia and often are part of the adaptation of the infant to being outside the uterus 7, 27, 28. The longer‐term adverse health outcomes included asthma, respiratory infections (eg, common cold, pneumonia, bronchitis), gastrointestinal disorders, other infections (eg, sepsis, streptococcus, cystitis), metabolic disorder (eg, hypoglycemia, neonatal diabetes mellitus, diabetes mellitus type 1 or 2, localized adiposity), and eczema, based on the potential effect that mode of birth has on immune‐related diseases 5, 6, 7, 12, 13, 14, 15, 16, 17, 18.…”

Section: Methodsmentioning

confidence: 99%

The effect of medical and operative birth interventions on child health outcomes in the first 28 days and up to 5 years of age: A linked data population‐based cohort study

Peters

Thornton

Jonge

et al. 2018

Birth

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BackgroundSpontaneous vaginal birth rates are decreasing worldwide, while cesarean delivery, instrumental births, and medical birth interventions are increasing. Emerging evidence suggests that birth interventions may have an effect on children's health. Therefore, the aim of our study was to examine the association between operative and medical birth interventions on the child's health during the first 28 days and up to 5 years of age.MethodsIn New South Wales (Australia), population‐linked data sets were analyzed, including data on maternal characteristics, child characteristics, mode of birth, interventions during labor and birth, and adverse health outcomes of the children (ie, jaundice, feeding problems, hypothermia, asthma, respiratory infections, gastrointestinal disorders, other infections, metabolic disorder, and eczema) registered with the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification codes. Logistic regression analyses were performed for each adverse health outcome.ResultsOur analyses included 491 590 women and their children; of those 38% experienced a spontaneous vaginal birth. Infants who experienced an instrumental birth after induction or augmentation had the highest risk of jaundice, adjusted odds ratio (aOR) 2.75 (95% confidence interval [CI] 2.61‐2.91) compared with spontaneous vaginal birth. Children born by cesarean delivery were particularly at statistically significantly increased risk for infections, eczema, and metabolic disorder, compared with spontaneous vaginal birth. Children born by emergency cesarean delivery showed the highest association for metabolic disorder, aOR 2.63 (95% CI 2.26‐3.07).ConclusionChildren born by spontaneous vaginal birth had fewer short‐ and longer‐term health problems, compared with those born after birth interventions.

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“…[3][4][5][6] For example, studies have reported that children born by cesarean delivery may have increased rates of respiratory illness in their first year of life 5,7,8 and beyond, 9,10 and relationships have also been described with diabetes 11 and child overweight and obesity. 12,13 Notwithstanding these potential adverse associations, children born by cesarean delivery are usually healthy, and it is important to recognize that many factors influence child health other than mode of birth.…”

Section: What This Study Addsmentioning

confidence: 99%

Childhood Health and Developmental Outcomes After Cesarean Birth in an Australian Cohort

Robson¹,

Vally

Abdel-Latif

et al. 2015

Pediatrics

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BACKGROUND AND OBJECTIVES: Concerns have been raised about associations between cesarean delivery and childhood obesity and asthma. However, published studies have not examined the long-term neurodevelopmental outcomes or fully addressed confounding influences. We used data from the LSAC (Longitudinal Study of Australian Children) to explore the relationship between cesarean delivery and physical and socio-emotional outcomes from 0 to 7 years, taking into account confounding factors.

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Influence of the mode of delivery on maternal and neonatal outcomes: a comparison between elective cesarean section and planned vaginal delivery in a low-risk obstetric population

Abstract: The increased maternal morbidity in elective cesarean section included puerperal febrile morbidity, wound infections as well as breastfeeding problems in the postpartum period. Women should be sufficiently counseled regarding the increased risk of these complications.

Cited by 89 publications

References 21 publications

Maternal and infant outcome after caesarean section without recorded medical indication: findings from a Swedish case–control study

Maternal and infant outcome after caesarean section without recorded medical indication: findings from a Swedish case–control study

The effect of medical and operative birth interventions on child health outcomes in the first 28 days and up to 5 years of age: A linked data population‐based cohort study

Childhood Health and Developmental Outcomes After Cesarean Birth in an Australian Cohort

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