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Clin Perinatol. 2008 Jun;35(2):361-71, vi. doi: 10.1016/j.clp.2008.03.009.

Neonatal morbidity and mortality after elective cesarean delivery.

Clinics in perinatology

Caroline Signore, Mark Klebanoff

Affiliations

  1. 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. [email protected]

PMID: 18456074 PMCID: PMC2475575 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.

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