COMPARATIVE NEONATAL MORBIDITY OF ABDOMINAL AND VAGINAL DELIVERIES AFTER UNCOMPLICATED PREGNANCIES
COMPARATIVE NEONATAL MORBIDITY OF ABDOMINAL AND VAGINAL DELIVERIES AFTER UNCOMPLICATED PREGNANCIES
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DOI：
10.1001/archpedi.1995.02170210036006
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发表时间：
1995-08-01
影响因子：
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通讯作者：
SOUTHGATE, WM
中科院分区：
文献类型：
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作者：
ANNIBALE, DJ;HULSEY, TC;SOUTHGATE, WM
目的：通过比较阴道分娩的新生儿风险与腹部分娩的风险，以确定无并发症妊娠后剖宫产的风险是否已降低，目前的产科实践，否则uncomplicatedpregnances.Design：观察，队列研究。从围产期数据库中确定了11702名无妊娠并发症的妇女，按随后的分娩方式分类，并比较新生儿发病率。在剖宫产组进一步缩小到只包括“重复选择性”分娩后，重复进行了这项分析。三级护理（三级托儿所）转诊中心和社区（二级托儿所）hospital.Intervention：剖腹产进行electively，头盆不称，或为失败的进展。结果变量：选择之前的数据分析：新生儿死亡率和发病率。结果：组不同种族和性别。剖宫产组新生儿入院时Apgar评分<4分、需要中级或强化护理的比例较高（6.3%vs1.3%[P
Objective: To determine whether the risk of cesarean section following uncomplicated pregnancies has been reduced by current obstetric practices by comparing the neonatal risk of vaginal deliveries with the risk incurred following abdominal delivery in otherwise uncomplicated pregnancies.Design: Observational, cohort study. A subpopulation of 11 702 women without complications of pregnancy was identified from a perinatal database, classified by subsequent mode of delivery, and compared for neonatal morbidity. This analysis was repeated after the cesarean section group was further narrowed to include only ''repeated elective'' deliveries.Setting: Low-risk inborn setting. Tertiary care (level III nursery) referral center and a community (level II nursery) hospital.Intervention: Cesarean section performed electively, for cephalopelvic disproportion, or for failure to progress.Outcome Variables: Chosen prior to data analysis: neonatal mortality and morbidity.Results: Groups differed with regard to ethnicity and sex. Infants who were delivered by cesarean section were more likely to have 1-minute Apgar scores less than 4, require intermediate or intensive nursery dare at admission (6.3% vs 1.3% [P