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Adverse infant outcomes associated with caesarean section delivery in India
BACKGROUND: Caesarean section delivery is increasing worldwide and in India, yet little is known about the effect on infants. We examined the association between caesarean delivery and adverse infant outcomes in an Indian national survey, accounting for factors related to the mode of delivery. METHO...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7443719/ https://www.ncbi.nlm.nih.gov/pubmed/31819983 http://dx.doi.org/10.1093/inthealth/ihz111 |
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author | Gondwe, Tamala Betha, Kalpana Kusneniwar, G N Bunker, Clareann H Tang, Gong Simhan, Hyagriv Haggerty, Catherine L |
author_facet | Gondwe, Tamala Betha, Kalpana Kusneniwar, G N Bunker, Clareann H Tang, Gong Simhan, Hyagriv Haggerty, Catherine L |
author_sort | Gondwe, Tamala |
collection | PubMed |
description | BACKGROUND: Caesarean section delivery is increasing worldwide and in India, yet little is known about the effect on infants. We examined the association between caesarean delivery and adverse infant outcomes in an Indian national survey, accounting for factors related to the mode of delivery. METHODS: Inverse probability weighted logistic regression analysis of the 2015–2016 India National Family Health Survey obtained adjusted ORs (aORs) and 95% CIs. Infant outcomes were maternal report of recent concomitant diarrhoea and acute respiratory infection (ARI) in infants age ≤6 mo and neonatal death. RESULTS: Of the 189 143 reported most recent singleton births, 15.4% were delivered by caesarean, 860 (3.2%) of all infants age ≤6 mo had concomitant diarrhoea and ARI and 3480 (1.8%) neonatal deaths were reported. In adjusted analysis, caesarean delivery was not associated with concomitant diarrhoea and ARI (aOR 0.96 [95% CI 0.71 to 1.32]) but was associated with neonatal death (aOR 1.19 [95% CI 1.02 to 1.39]). CONCLUSIONS: Using nationally representative cross-sectional data for India, caesarean section delivery was found to be associated with neonatal death after accounting for factors associated with the mode of delivery. Prospective exploration of the relationship between caesarean delivery and adverse infant outcomes is warranted. |
format | Online Article Text |
id | pubmed-7443719 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-74437192020-08-26 Adverse infant outcomes associated with caesarean section delivery in India Gondwe, Tamala Betha, Kalpana Kusneniwar, G N Bunker, Clareann H Tang, Gong Simhan, Hyagriv Haggerty, Catherine L Int Health Original Article BACKGROUND: Caesarean section delivery is increasing worldwide and in India, yet little is known about the effect on infants. We examined the association between caesarean delivery and adverse infant outcomes in an Indian national survey, accounting for factors related to the mode of delivery. METHODS: Inverse probability weighted logistic regression analysis of the 2015–2016 India National Family Health Survey obtained adjusted ORs (aORs) and 95% CIs. Infant outcomes were maternal report of recent concomitant diarrhoea and acute respiratory infection (ARI) in infants age ≤6 mo and neonatal death. RESULTS: Of the 189 143 reported most recent singleton births, 15.4% were delivered by caesarean, 860 (3.2%) of all infants age ≤6 mo had concomitant diarrhoea and ARI and 3480 (1.8%) neonatal deaths were reported. In adjusted analysis, caesarean delivery was not associated with concomitant diarrhoea and ARI (aOR 0.96 [95% CI 0.71 to 1.32]) but was associated with neonatal death (aOR 1.19 [95% CI 1.02 to 1.39]). CONCLUSIONS: Using nationally representative cross-sectional data for India, caesarean section delivery was found to be associated with neonatal death after accounting for factors associated with the mode of delivery. Prospective exploration of the relationship between caesarean delivery and adverse infant outcomes is warranted. Oxford University Press 2019-12-10 /pmc/articles/PMC7443719/ /pubmed/31819983 http://dx.doi.org/10.1093/inthealth/ihz111 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Original Article Gondwe, Tamala Betha, Kalpana Kusneniwar, G N Bunker, Clareann H Tang, Gong Simhan, Hyagriv Haggerty, Catherine L Adverse infant outcomes associated with caesarean section delivery in India |
title | Adverse infant outcomes associated with caesarean section delivery in India |
title_full | Adverse infant outcomes associated with caesarean section delivery in India |
title_fullStr | Adverse infant outcomes associated with caesarean section delivery in India |
title_full_unstemmed | Adverse infant outcomes associated with caesarean section delivery in India |
title_short | Adverse infant outcomes associated with caesarean section delivery in India |
title_sort | adverse infant outcomes associated with caesarean section delivery in india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7443719/ https://www.ncbi.nlm.nih.gov/pubmed/31819983 http://dx.doi.org/10.1093/inthealth/ihz111 |
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