June 1996

Neonatal Morbidity of Abdominal and Vaginal Deliveries After Uncomplicated Pregnancies

Author Affiliations

Pennridge Pediatric Associates 711 Lawn Ave Sellersville, PA 18960
Philadelphia, Pa

Arch Pediatr Adolesc Med. 1996;150(6):653. doi:10.1001/archpedi.1996.02170310087026

We have read with interest the recent article in which Annibale et1 al compare the neonatal morbidity of abdominal and vaginal deliveries after uncomplicated pregnancies. Although their study did not have the power to make statistically valid conclusions, their results suggested that, following an uncomplicated labor (if present), cesarean section with patients under regional anesthesia carries a risk for requiring neonatal resuscitation that is similar to that of vaginal delivery. This issue has relevance for the utilization of pediatric resources. As the obstetrician and anesthesiologist/anesthetist have primary responsibility for maternal care, it is recommended that another individual

One-Minute Apgar Scores After Uncomplicated Vaginal Deliveries and Repeated Cesarean Deliveries Under Regional Anesthesia* Apgar Scores, % (No.) of Deliveries Delivery 0-3 4-6 7-10 Vaginal 0.7 (52) 2.9 (202) 96.4 (6784) Repeated cesarean section 0.4 (4) 1.8 (20) 97.8 (1080) P.22.06.02 *For Apgar scores of 0-3, the power to detect a significant difference

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