Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto Street, Pittsburgh, PA 15261, USA.
SHARE INDIA, MediCiti Institute of Medical Sciences, Ghanpur, Telangana State-501401, India.
Int Health. 2020 Sep 1;12(5):411-416. doi: 10.1093/inthealth/ihz111.
Caesarean section delivery is increasing worldwide and in India, yet little is known about the effect on infants. We examined the association between caesarean delivery and adverse infant outcomes in an Indian national survey, accounting for factors related to the mode of delivery.
Inverse probability weighted logistic regression analysis of the 2015-2016 India National Family Health Survey obtained adjusted ORs (aORs) and 95% CIs. Infant outcomes were maternal report of recent concomitant diarrhoea and acute respiratory infection (ARI) in infants age ≤6 mo and neonatal death.
Of the 189 143 reported most recent singleton births, 15.4% were delivered by caesarean, 860 (3.2%) of all infants age ≤6 mo had concomitant diarrhoea and ARI and 3480 (1.8%) neonatal deaths were reported. In adjusted analysis, caesarean delivery was not associated with concomitant diarrhoea and ARI (aOR 0.96 [95% CI 0.71 to 1.32]) but was associated with neonatal death (aOR 1.19 [95% CI 1.02 to 1.39]).
Using nationally representative cross-sectional data for India, caesarean section delivery was found to be associated with neonatal death after accounting for factors associated with the mode of delivery. Prospective exploration of the relationship between caesarean delivery and adverse infant outcomes is warranted.
剖宫产分娩在全球范围内以及在印度都呈上升趋势，但对于其对婴儿的影响知之甚少。我们在一项印度全国性调查中，考察了剖宫产分娩与不良婴儿结局之间的关系，同时考虑了与分娩方式相关的因素。
使用 2015-2016 年印度国家家庭健康调查的逆概率加权逻辑回归分析，得出调整后的比值比（aOR）及其 95%置信区间（CI）。婴儿结局为产妇报告的最近 6 月龄以下婴儿同时患有腹泻和急性呼吸道感染（ARI），以及新生儿死亡。
在报告的 189143 例最近的单胎分娩中，15.4%为剖宫产分娩，860 例（3.2%）所有 6 月龄以下婴儿患有同时腹泻和 ARI，3480 例（1.8%）报告新生儿死亡。在调整分析中，剖宫产分娩与同时腹泻和 ARI 无关（aOR 0.96 [95% CI 0.71-1.32]），但与新生儿死亡有关（aOR 1.19 [95% CI 1.02-1.39]）。
使用印度全国代表性的横断面数据，在考虑与分娩方式相关的因素后，发现剖宫产分娩与新生儿死亡有关。有必要前瞻性探索剖宫产分娩与不良婴儿结局之间的关系。
