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Compared with other industrialised countries, Italy has one of the highest caesarean delivery rates, which increased from 26.1% in 1995 to 38.3% in 2005.1 While the overall effect of this mode of delivery on neonatal respiratory outcomes among term newborns is well known,2 few studies have compared the impact of gestational age at delivery on respiratory morbidity (ie, at 37 and 38 weeks’ gestation vs 39 weeks3).
We conducted this analysis in the Lazio region (53 000 births/year), where the caesarean delivery rate was 42.7% in 20054; the proportion of term elective caesarean …
Competing interests None.
Provenance and Peer review Not commissioned; not externally peer reviewed.