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https://ciane.net/id=1596

Created on : 01 Feb 2006
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Neonatal morbidity after ERCS and TOL.. Pediatrics, 100, p.348 - 53

Author(s) :

Hook

Year of publication :

1997

URL(s) :

Résumé (français)  :

Abstract (English)  :

Retro. All mothers who underwent PCS and delivered singleton infants at term were identified. Neonatal outcomes were compared between infants delivered by ERCS (#497) and those delivered by TOL (#492). Also compared were those successful with TOL (#336) and failed TOL (#156). A cohort of routine vaginal delivery was identified also.<BR>Results: Infants delivered by ERCS had an increased rate of transient tachypnea compared with TOL. Compared with routine delivery the odds ratio of transient tachypnea was 2.6. In addition, 2 infants delivered by ERCS had RDS. Infants delivered after TOL had an increased rate of suspected and proven sepsis (5% suspected for TOL vs 2% for ERCS, 1% proven sepsis for TOL vs 0.1% proven sepsis for ERCS). Compared with successful TOL, infants of failed TOL had more neonatal morbidity and had a longer hosp. stay. The odds ratio of developing respiratory illness after failed TOL was 2.1, for suspected sepsis was 4.8 and for proven sepsis was 19.3.<BR>Conc. Infants born by ERCS are at increased risk for developing respiratory problems. TOL is associated with increased rates of suspected and proven sepsis. This appears to be limited to those infants delivered by CS after failed TOL.

Sumário (português)  :

Resumen (español)  :

Comments :

Fiche importée de http://www.worldserver.com/turk/birthing/rrvbac2000-4.html avec l’aide de Ken Turkowski, septembre 2005

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ vaginal birth after caesarean ; c-section/caesarean

Author of this record :

Ken Turkowski — 01 Feb 2006