择期剖宫产术后的新生儿发病率和死亡率。
Neonatal morbidity and mortality after elective cesarean delivery.
作者信息
Signore Caroline, Klebanoff Mark
机构信息
Pregnancy and Perinatology Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Bethesda, MD 20892, USA.
出版信息
Clin Perinatol. 2008 Jun;35(2):361-71, vi. doi: 10.1016/j.clp.2008.03.009.
Abstract
This article explores the effects of elective cesarean delivery (ECD) at term on neonatal morbidity and mortality. Available data have limitations, and do not provide conclusive evidence regarding the safety of planned ECD versus planned vaginal delivery. Some data suggest an association between ECD and increased neonatal respiratory morbidity and lacerations, and possibly decreased central and peripheral nervous system injury. Potentially increased risks of neonatal mortality with ECD at term may be counterbalanced by risks for fetal demise in ongoing pregnancies. Patients and physicians considering ECD should review competing risks and benefits; further research is needed to inform these discussions.
摘要
本文探讨足月选择性剖宫产（ECD）对新生儿发病率和死亡率的影响。现有数据存在局限性，并未就计划性ECD与计划性阴道分娩的安全性提供确凿证据。一些数据表明，ECD与新生儿呼吸系统发病率增加和撕裂伤有关，并且可能降低中枢和周围神经系统损伤。足月ECD潜在增加的新生儿死亡风险可能被持续妊娠中胎儿死亡的风险所抵消。考虑进行ECD的患者和医生应权衡相互竞争的风险和益处；需要进一步研究为这些讨论提供信息。
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