Neurodevelopmental outcome at 5 years after operative delivery in the second stage of labor: a cohort study

Rachna Bahl; Roshni R. Patel; Rebecca Swingler; Matthew Ellis; Deirdre J. Murphy; Matthew E Ellis

doi:10.1016/j.ajog.2007.03.034

Neurodevelopmental outcome at 5 years after operative delivery in the second stage of labor: a cohort study

Rachna Bahl, Roshni R. Patel, Rebecca Swingler, Matthew Ellis, Deirdre J. Murphy^*, Matthew E Ellis

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

26 Citations (Scopus)

Abstract

OBJECTIVE: The purpose of this study was to compare the neurodevelopmental outcome of children at 5 years of age after instrument vaginal delivery and cesarean delivery in the second stage of labor.

STUDY DESIGN: This prospective cohort study was comprised of women with term, singleton, cephalic pregnancies who needed operative delivery in the operating room during the second stage of labor from February 1999 to February 2000. Data were collected with postal questionnaires and review of medical records. The primary outcome measure was the neurodevelopment of children at 5 years of age.

RESULTS: A total of 393 women required operative delivery, of whom 264 women (67%) completed questionnaires at 5 years. A total of 66 children (17%) had been born in poor condition (Apgar score <7 at 5 minutes, umbilical artery pH <7.10, significant trauma, sepsis, or special care baby unit admission). Medical records were available for all 66 children. Rates of neurodevelopmental morbidity were low, with no significant differences between delivery groups. Two children had significant neurodevelopmental morbidity, but this was unlikely to relate to the mode of delivery.

CONCLUSION: In this cohort, the rates of neurodevelopmental morbidity were low overall and comparable, irrespective of the mode of delivery.

Original language	English
Article number	6
Number of pages	6
Journal	American Journal of Obstetrics and Gynecology
Volume	197
Issue number	2
DOIs	https://doi.org/10.1016/j.ajog.2007.03.034
Publication status	Published - Aug 2007

Keywords

cesarean delivery
cohort study
neurodevelopmental outcome
operative delivery
CESAREAN DELIVERY
NEWBORN ENCEPHALOPATHY
VACUUM EXTRACTION
RISK-FACTORS
FOLLOW-UP
TERM
FORCEPS
POPULATION
MORBIDITY
ASPHYXIA

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@article{3733bdf8eb304e93ad26d1a27a678fbf,

title = "Neurodevelopmental outcome at 5 years after operative delivery in the second stage of labor: a cohort study",

abstract = "OBJECTIVE: The purpose of this study was to compare the neurodevelopmental outcome of children at 5 years of age after instrument vaginal delivery and cesarean delivery in the second stage of labor.STUDY DESIGN: This prospective cohort study was comprised of women with term, singleton, cephalic pregnancies who needed operative delivery in the operating room during the second stage of labor from February 1999 to February 2000. Data were collected with postal questionnaires and review of medical records. The primary outcome measure was the neurodevelopment of children at 5 years of age.RESULTS: A total of 393 women required operative delivery, of whom 264 women (67%) completed questionnaires at 5 years. A total of 66 children (17%) had been born in poor condition (Apgar score <7 at 5 minutes, umbilical artery pH <7.10, significant trauma, sepsis, or special care baby unit admission). Medical records were available for all 66 children. Rates of neurodevelopmental morbidity were low, with no significant differences between delivery groups. Two children had significant neurodevelopmental morbidity, but this was unlikely to relate to the mode of delivery.CONCLUSION: In this cohort, the rates of neurodevelopmental morbidity were low overall and comparable, irrespective of the mode of delivery.",

keywords = "cesarean delivery, cohort study, neurodevelopmental outcome, operative delivery, CESAREAN DELIVERY, NEWBORN ENCEPHALOPATHY, VACUUM EXTRACTION, RISK-FACTORS, FOLLOW-UP, TERM, FORCEPS, POPULATION, MORBIDITY, ASPHYXIA",

author = "Rachna Bahl and Patel, {Roshni R.} and Rebecca Swingler and Matthew Ellis and Murphy, {Deirdre J.} and Ellis, {Matthew E}",

year = "2007",

month = aug,

doi = "10.1016/j.ajog.2007.03.034",

language = "English",

volume = "197",

journal = "American Journal of Obstetrics and Gynecology",

issn = "0002-9378",

publisher = "Elsevier Inc.",

number = "2",

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TY - JOUR

T1 - Neurodevelopmental outcome at 5 years after operative delivery in the second stage of labor: a cohort study

AU - Bahl, Rachna

AU - Patel, Roshni R.

AU - Swingler, Rebecca

AU - Ellis, Matthew

AU - Murphy, Deirdre J.

AU - Ellis, Matthew E

PY - 2007/8

Y1 - 2007/8

N2 - OBJECTIVE: The purpose of this study was to compare the neurodevelopmental outcome of children at 5 years of age after instrument vaginal delivery and cesarean delivery in the second stage of labor.STUDY DESIGN: This prospective cohort study was comprised of women with term, singleton, cephalic pregnancies who needed operative delivery in the operating room during the second stage of labor from February 1999 to February 2000. Data were collected with postal questionnaires and review of medical records. The primary outcome measure was the neurodevelopment of children at 5 years of age.RESULTS: A total of 393 women required operative delivery, of whom 264 women (67%) completed questionnaires at 5 years. A total of 66 children (17%) had been born in poor condition (Apgar score <7 at 5 minutes, umbilical artery pH <7.10, significant trauma, sepsis, or special care baby unit admission). Medical records were available for all 66 children. Rates of neurodevelopmental morbidity were low, with no significant differences between delivery groups. Two children had significant neurodevelopmental morbidity, but this was unlikely to relate to the mode of delivery.CONCLUSION: In this cohort, the rates of neurodevelopmental morbidity were low overall and comparable, irrespective of the mode of delivery.

AB - OBJECTIVE: The purpose of this study was to compare the neurodevelopmental outcome of children at 5 years of age after instrument vaginal delivery and cesarean delivery in the second stage of labor.STUDY DESIGN: This prospective cohort study was comprised of women with term, singleton, cephalic pregnancies who needed operative delivery in the operating room during the second stage of labor from February 1999 to February 2000. Data were collected with postal questionnaires and review of medical records. The primary outcome measure was the neurodevelopment of children at 5 years of age.RESULTS: A total of 393 women required operative delivery, of whom 264 women (67%) completed questionnaires at 5 years. A total of 66 children (17%) had been born in poor condition (Apgar score <7 at 5 minutes, umbilical artery pH <7.10, significant trauma, sepsis, or special care baby unit admission). Medical records were available for all 66 children. Rates of neurodevelopmental morbidity were low, with no significant differences between delivery groups. Two children had significant neurodevelopmental morbidity, but this was unlikely to relate to the mode of delivery.CONCLUSION: In this cohort, the rates of neurodevelopmental morbidity were low overall and comparable, irrespective of the mode of delivery.

KW - cesarean delivery

KW - cohort study

KW - neurodevelopmental outcome

KW - operative delivery

KW - CESAREAN DELIVERY

KW - NEWBORN ENCEPHALOPATHY

KW - VACUUM EXTRACTION

KW - RISK-FACTORS

KW - FOLLOW-UP

KW - TERM

KW - FORCEPS

KW - POPULATION

KW - MORBIDITY

KW - ASPHYXIA

U2 - 10.1016/j.ajog.2007.03.034

DO - 10.1016/j.ajog.2007.03.034

M3 - Article (Academic Journal)

C2 - 17689628

SN - 0002-9378

VL - 197

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

IS - 2

M1 - 6

ER -

Neurodevelopmental outcome at 5 years after operative delivery in the second stage of labor: a cohort study

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