Scheduled cesarean delivery: maternal and neonatal risks in primiparous XXXX in a community hospital setting.

@entity1 @entity12541 @entity548 @entity2143 @entity1576 @entity56451
We compared the short-term maternal and neonatal outcomes of @entity1 who deliver by cesarean without labor compared with @entity1 who deliver by cesarean after labor or by vaginal birth. This was a retrospective cohort study of @entity1 delivering a first baby from 1998 to 2002. Hospital discharge diagnostic coding identified unlabored cesarean deliveries (UCDs), @entity2143 ( @entity2143 ), and vaginal births (VBs). Medical records were abstracted and mode of delivery confirmed. The three outcomes of interest were maternal @entity548 complications, maternal febrile morbidity, and neonatal @entity1576 . Using logistic regression for each outcome, we investigated whether mode of delivery was associated with the outcome, independent of other factors. The study groups included 513 UCDs, 261 @entity2143 , and 251 VBs. Compared with the UCD group, the adjusted odds of @entity548 complications was higher in the @entity12541 comparison group (odds ratio [OR] 2.3; 95% confidence interval [CI] 1.21, 4.53) and the @entity56451 ; 95% CI 0.95, 4.02). The incidence of febrile morbidity was similar for both cesarean groups but lower in the VB group. Both comparison groups had lower odds of neonatal complications than the UCD group (OR for @entity12541 comparison group 0.52; 95% CI 0.27, 0.95 and OR for VB comparison group 0.26; 95% CI 0.098, 0.59). Scheduled cesarean is associated with @entity1576 but decreased odds of maternal @entity548 complications.
