Original articleThe Influence of Timing of Elective Cesarean Section on Risk of Neonatal Pneumothorax
Section snippets
Study Design and Population
All patients with pneumothorax transported to the Veneto region in northeastern Italy, from January 1, 2002 through December 31, 2003 by two dedicated neonatal transport teams of the Pediatric Departments of the Universities of Padua and Verona, respectively, were eligible for inclusion in the study. Inborn neonates with pneumothorax cared for at the Level-III reference centers and those registered in four Level-II hospitals also were included. The transport teams, which include a neonatologist
Results
During the 2-year study period, 87,418 infants were delivered and 66,961 (82.5%) were infants born at term. Of these neonates, 17,783 were delivered by cesarean section (26.5%), including 9988 (56.1%) delivered by elective cesarean and 7795 (43.8%) by emergency cesarean section, and 49,178 (68.0%) vaginally delivered. Fifty-nine neonates had pneumothorax diagnosed (0.8/1000 births) and all were treated with thoracostomy. Neonates delivered by elective cesarean section showed an increased
Discussion
Respiratory morbidity in infants with iatrogenic RDS can be remarkably severe, despite awareness for over a quarter century, and guidelines to minimize its occurrence.9, 16, 17, 18, 19, 20 In this study, we evaluated the contributing of elective cesarean delivery to pneumothorax risk in term neonates delivered in the Veneto region, an industrialized area of northern Italy, during a 2-year period. We found that for term infants elective cesarean delivery resulted in a significantly greater risk
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2019, Kendig's Disorders of the Respiratory Tract in ChildrenElective Repeat Caesarean Section in Low-Risk Women—Economic Evaluation Comparing Births Before vs. After 39 Weeks Gestation in Ontario, Canada
2018, Journal of Obstetrics and Gynaecology CanadaCitation Excerpt :Mounting evidence shows that babies born at 37 and 38 weeks have increased risk for adverse clinical outcomes compared to those born later. These risks include increased respiratory morbidity,5–11 mechanical ventilation,5,10,11 NICU admission5,11–13 and longer length of stay.5 There is also some evidence to suggest a negative effect on maternal outcome for ERCS performed prior to 39 weeks.11,14
Newborn Nursery Care
2018, Avery's Diseases of the Newborn: Tenth EditionAssociation between risk of neonatal pneumothorax and mode of anesthesia for cesarean delivery at term: a nationwide population-based retrospective cohort study
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2017, Avery's Diseases of the Newborn, Tenth Edition