TY - JOUR
T1 - Impact of mode of delivery on neonatal complications
T2 - Trends between 1997 and 2005
AU - Jain, Neetu J.
AU - Kruse, Lakota K.
AU - Demissie, Kitaw
AU - Khandelwal, Meena
PY - 2009/11/6
Y1 - 2009/11/6
N2 - Objective. This study examined whether rates of selected neonatal complications vary by mode of delivery and whether these rates are changing as a result of the increasing cesarean delivery rate. Method. Birth certificates in New Jersey from 1997 to 2005 were matched to hospital discharge records for mothers and newborns. Results. In New Jersey, the total cesarean section rate for 2005 was 35.3%, a relative increase of 46% since 1997 (from 24.2%). Rates of transient tachypnea of the newborn (TTN) and respiratory distress syndrome (RDS), regardless of mode of delivery, increased between 1997 and 2005 from 3.3 to 3.9% and 2.1 to 2.4%, respectively. Newborn injuries declined sharply from 4.1 to 2.6%, whereas intra-ventricular hemorrhage (IVH) rates remained stable. The rates of RDS, TTN and IVH were highest for cesarean delivery without trial of labor, while the rate of injuries was highest for instrumental vaginal delivery. Conclusion. Neonatal complication rates varied by mode of delivery and decreased with gestational age.
AB - Objective. This study examined whether rates of selected neonatal complications vary by mode of delivery and whether these rates are changing as a result of the increasing cesarean delivery rate. Method. Birth certificates in New Jersey from 1997 to 2005 were matched to hospital discharge records for mothers and newborns. Results. In New Jersey, the total cesarean section rate for 2005 was 35.3%, a relative increase of 46% since 1997 (from 24.2%). Rates of transient tachypnea of the newborn (TTN) and respiratory distress syndrome (RDS), regardless of mode of delivery, increased between 1997 and 2005 from 3.3 to 3.9% and 2.1 to 2.4%, respectively. Newborn injuries declined sharply from 4.1 to 2.6%, whereas intra-ventricular hemorrhage (IVH) rates remained stable. The rates of RDS, TTN and IVH were highest for cesarean delivery without trial of labor, while the rate of injuries was highest for instrumental vaginal delivery. Conclusion. Neonatal complication rates varied by mode of delivery and decreased with gestational age.
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U2 - 10.1080/14767050902769982
DO - 10.1080/14767050902769982
M3 - Article
C2 - 19504405
AN - SCOPUS:69149089056
VL - 22
SP - 491
EP - 500
JO - Journal of Maternal-Fetal and Neonatal Medicine
JF - Journal of Maternal-Fetal and Neonatal Medicine
SN - 1476-7058
IS - 6
ER -