足月选择性重复剖宫产对新生儿的影响：关于患者选择剖宫产的评论
Neonatal impact of elective repeat cesarean delivery at term: a comment on patient choice cesarean delivery.
作者信息
Fogelson Nicholas S, Menard M Kathryn, Hulsey Thomas, Ebeling Myla
机构信息
Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC, USA.
出版信息
Am J Obstet Gynecol. 2005 May;192(5):1433-6. doi: 10.1016/j.ajog.2005.01.010.
OBJECTIVE
The object of this study was to compare neonatal outcomes of term uncomplicated pregnancies delivered by scheduled repeat cesarean with outcomes of babies born to mothers intending to deliver vaginally.
STUDY DESIGN
This retrospective cohort study describes neonatal outcomes of term uncomplicated pregnancies. Neonates of mothers intending to deliver vaginally (n = 3134) are compared with neonates born by elective repeat cesarean delivery prior to labor (n = 117).
RESULTS
Neonates born by elective repeat cesarean are more frequently admitted to advanced care nurseries than infants born to mothers intending to deliver vaginally (risk ratio 3.58, 95% confidence interval 3.35-3.58).
CONCLUSION
The decision to undergo scheduled cesarean delivery appears to negatively impact immediate neonatal outcomes.
目的
本研究的目的是比较计划性再次剖宫产分娩的足月无并发症妊娠的新生儿结局与打算经阴道分娩的母亲所生婴儿的结局。
研究设计
这项回顾性队列研究描述了足月无并发症妊娠的新生儿结局。将打算经阴道分娩的母亲的新生儿（n = 3134）与分娩发动前择期再次剖宫产出生的新生儿（n = 117）进行比较。
结果
与打算经阴道分娩的母亲所生婴儿相比，择期再次剖宫产出生的新生儿更常被收治入高级护理病房（风险比3.58，95%置信区间3.35 - 3.58）。
结论
接受计划性剖宫产的决定似乎对新生儿的即时结局有负面影响。
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