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Intrapartum cesarean delivery due to nonreassuring fetal heart rate and the risk of pediatric infectious morbidity-related hospitalizations of the offspring: A population-based cohort study with up to 18 years of follow-up

The Pediatric Infectious Disease Journal Mar 17, 2021

Leybovitz-Haleluya N, Wainstock T, Pariente G, et al. - Nonreassuring fetal heart rate (NRFHR) patterns are one of the most common indications for intrapartum cesarean delivery (CD). Researchers conducted a population-based cohort study with the aim to determine the long-term effect of CD due to NRFHR on the risk for subsequent childhood infectious morbidity-related hospitalizations of the offspring. Total and different subtypes of infectious morbidity-related pediatric hospitalizations were compared among offspring born by CD due to NRFHR vs labor dystocia (failure of labor to progress during the 1st or 2nd stage). A total of 9,956 newborns were included; of these, 5,810 (58%) were born by CD due to NRFHR, and 4,146 (42%) were born via CD following labor dystocia with normal fetal heart rate (comparison group). Higher rates of infectious morbidity-related hospitalizations were observed among offspring born following NRFHR. CD due to NRFHR is thus suggested to be a risk factor for pediatric infectious morbidity-related hospitalizations of the offspring in this population.

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