Early Childhood Outcomes Among Infants Born by Vaginal Birth After Cesarean and Repeat Cesarean Delivery in the Military Health System.

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Military Medicine Pub Date : 2021-11-02 DOI:10.1093/milmed/usaa536

Jacqueline Kikuchi, Anju Ranjit, Wei Jiang, Catherine Witkop, Lynette Hamlin, Tracey Perez Koehlmoos

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Abstract

Objective: This study examines whether children delivered by repeat cesarean section experience higher incidences of otitis media, respiratory infections, and allergic diseases than children delivered by vaginal birth after cesarean section (VBAC) in the Military Health System.

Study design: This is a retrospective cohort study from the Military Health System Data Repository of women who underwent repeat cesarean section or VBAC between 2006 and 2012 and their offspring through 2014.

Results: About 11,659 infants with 2 years of follow-up were identified. Infants delivered by VBAC had lower odds of developing respiratory illness (P < .000), otitis media (P < .001), and allergies (P = .022) compared with infants born by repeat cesarean section. There were no differences in the development of food allergies.

Conclusion: Emerging data regarding early childhood health are additional factors that can influence the mother's decision on mode of birth after a primary cesarean section.

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军队卫生系统剖宫产后阴道分娩和重复剖宫产婴儿的早期结局。

目的:探讨军队卫生系统中重复剖宫产患儿中耳炎、呼吸道感染和过敏性疾病的发生率是否高于阴道剖宫产患儿。研究设计:这是一项来自军事卫生系统数据库的回顾性队列研究，研究对象是2006年至2012年期间接受过多次剖宫产或VBAC的妇女及其后代到2014年。结果:通过2年的随访，确定了11659名婴儿。VBAC分娩的婴儿患呼吸系统疾病的几率较低(P结论:关于儿童早期健康的新数据是影响母亲在初次剖宫产后决定分娩方式的额外因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Military Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

2.20

自引率

8.30%

发文量

393

审稿时长

4-8 weeks

期刊介绍： Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.