Primal Health Databank: Study
| Entry No: | 1098 |
| Title: | The effect of medical and operative birth interventions on child health outcomes in the first 28 days and up to 5 years of age: A linked data population-based cohort study. |
| Author(s): | Peters LL, Thornton C, et al |
| Reference: | Birth. 2018 Dec;45(4):347-357. doi: 10.1111/birt.12348. Epub 2018 Mar 25. |
| Place of Study: | Australia |
| Abstract: | The aim of this study was to examine the association between operative and medical birth interventions on the child's health during the first 28 days and up to 5 years of age.
In New South Wales (Australia), population-linked data sets were analyzed, including data on maternal characteristics, child characteristics, mode of birth, interventions during labor and birth, and adverse health outcomes of the children (ie, jaundice, feeding problems, hypothermia, asthma, respiratory infections, gastrointestinal disorders, other infections, metabolic disorder, and eczema) registered with the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification codes. Logistic regression analyses were performed for each adverse health outcome.
The analyses included 491 590 women and their children; of those 38% experienced a spontaneous vaginal birth. Infants who experienced an instrumental birth after induction or augmentation had the highest risk of jaundice, adjusted odds ratio (aOR) 2.75 (95% confidence interval [CI] 2.61-2.91) compared with spontaneous vaginal birth. Children born by cesarean delivery were particularly at statistically significantly increased risk for infections, eczema, and metabolic disorder, compared with spontaneous vaginal birth. Children born by emergency cesarean delivery showed the highest association for metabolic disorder, aOR 2.63 (95% CI 2.26-3.07).
CONCLUSION:
Children born by spontaneous vaginal birth had fewer short- and longer-term health problems, compared with those born after birth interventions. |
| Keyword(s): | caesarean, cesarean, forceps delivery, labor augmentation, labor induction, labour augmentation, labour induction, spontaneous vaginal birth, vacuum, ventouse |
| Discussion: | No discussion mentioned for this entry |
| See Also: | No related entries mentioned for this entry |
Go Back | New Keyword Search