Delivery After Previous Cesarean: Long-Term Outcomes in the Child

In subsequent pregnancies after a cesarean delivery, women must choose between attempting to deliver vaginally or undergoing another cesarean delivery. Information relevant to this choice includes the long-term benefits and harms to the baby. In this article we discuss the relationship of mode of de...

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Published inSeminars in perinatology Vol. 34; no. 4; pp. 281 - 292
Main Authors O'Shea, T. Michael, MD, MPH, Klebanoff, Mark A., MD, MPH, Signore, Caroline, MD, MPH
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2010
Subjects
asthma
Asthma - epidemiology
brachial plexus injury
Brachial Plexus Neuropathies - epidemiology
Brain Diseases - epidemiology
cesarean delivery
Cesarean Section, Repeat - adverse effects
Dystocia
Female
Gestational Age
Humans
Hypoxia-Ischemia, Brain - epidemiology
Infant, Newborn
Neonatal and Perinatal Medicine
neonatal encephalopathy
Nervous System Diseases - epidemiology
Pregnancy
Pregnancy Outcome - epidemiology
Respiratory Distress Syndrome, Newborn - epidemiology
Risk Factors
Shoulder
shoulder dystocia
Trial of Labor
Uterine Rupture
Vaginal Birth after Cesarean - adverse effects
vaginal delivery
neonatal encephalopathy
shoulder dystocia
uterine rupture
asthma
brachial plexus injury
cesarean delivery
vaginal delivery
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Abstract In subsequent pregnancies after a cesarean delivery, women must choose between attempting to deliver vaginally or undergoing another cesarean delivery. Information relevant to this choice includes the long-term benefits and harms to the baby. In this article we discuss the relationship of mode of delivery (planned trial of labor, either with or without vaginal delivery, or elective repeat cesarean delivery) and long-term outcomes, including brachial plexus palsy, neurodevelopmental impairment, and asthma. No randomized trials are available that relate directly to the choice of delivery method after previous cesarean. Observational studies suggest that cesarean delivery might be associated with a greater risk of asthma, caused perhaps by altered gut colonization, increased risk of neonatal respiratory disease, decreased gestational age at birth or decreased likelihood of breastfeeding. By contrast, vaginal delivery after a previous cesarean delivery is associated with greater risks of neurodevelopmental impairment and upper-extremity motor impairment, caused, respectively, by greater risks of perinatal hypoxic-ischemic encephalopathy and brachial plexus injury. Available information does not provide a precise estimate of the relative risks for infants delivered after a trial of labor versus elective cesarean delivery.
AbstractList In subsequent pregnancies after a cesarean delivery, women must choose between attempting to deliver vaginally or undergoing another cesarean delivery. Information relevant to this choice includes the long-term benefits and harms to the baby. In this article we discuss the relationship of mode of delivery (planned trial of labor, either with or without vaginal delivery, or elective repeat cesarean delivery) and long-term outcomes, including brachial plexus palsy, neurodevelopmental impairment, and asthma. No randomized trials are available that relate directly to the choice of delivery method after previous cesarean. Observational studies suggest that cesarean delivery might be associated with a greater risk of asthma, caused perhaps by altered gut colonization, increased risk of neonatal respiratory disease, decreased gestational age at birth or decreased likelihood of breastfeeding. By contrast, vaginal delivery after a previous cesarean delivery is associated with greater risks of neurodevelopmental impairment and upper-extremity motor impairment, caused, respectively, by greater risks of perinatal hypoxic-ischemic encephalopathy and brachial plexus injury. Available information does not provide a precise estimate of the relative risks for infants delivered after a trial of labor versus elective cesarean delivery.
Author O'Shea, T. Michael, MD, MPH
Klebanoff, Mark A., MD, MPH
Signore, Caroline, MD, MPH
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Issue 4
Keywords neonatal encephalopathy
shoulder dystocia
uterine rupture
asthma
brachial plexus injury
cesarean delivery
vaginal delivery
Language English
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Snippet In subsequent pregnancies after a cesarean delivery, women must choose between attempting to deliver vaginally or undergoing another cesarean delivery....
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SubjectTerms asthma
Asthma - epidemiology
brachial plexus injury
Brachial Plexus Neuropathies - epidemiology
Brain Diseases - epidemiology
cesarean delivery
Cesarean Section, Repeat - adverse effects
Dystocia
Female
Gestational Age
Humans
Hypoxia-Ischemia, Brain - epidemiology
Infant, Newborn
Neonatal and Perinatal Medicine
neonatal encephalopathy
Nervous System Diseases - epidemiology
Pregnancy
Pregnancy Outcome - epidemiology
Respiratory Distress Syndrome, Newborn - epidemiology
Risk Factors
Shoulder
shoulder dystocia
Trial of Labor
Uterine Rupture
Vaginal Birth after Cesarean - adverse effects
vaginal delivery
Title Delivery After Previous Cesarean: Long-Term Outcomes in the Child
URI https://www.clinicalkey.es/playcontent/1-s2.0-S0146000510000327
https://dx.doi.org/10.1053/j.semperi.2010.03.008
https://www.ncbi.nlm.nih.gov/pubmed/20654779
https://search.proquest.com/docview/749021461
Volume 34
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