Elective Caesarean Delivery Associated with Infant Hospitalisation for Intestinal But Not Respiratory Infection.

Abstract:

OBJECTIVES:We assessed the impact of caesarean delivery on offspring respiratory and intestinal infection. METHODS:Data were extracted from all live births (n = 429,058) occurring in the Australian state of Queensland between January 2009 and December 2015, and followed for 12 months. Births were categorised as either non-medically indicated caesarean or vaginal delivery and each offspring had a record (present/absent) of respiratory and intestinal infection hospitalisation for each month from birth to 12 months. RESULTS:Infants delivered by non-medically indicated caesarean were more likely to experience respiratory infection [OR = 1.51 (1.15, 1.99)] and intestinal infection [OR = 1.74 (1.19, 2.55)] than those born by vaginal delivery. In the propensity score weighted analyses the estimate for respiratory infection was similar but non-significant [OR = 1.52 (0.99, 2.31)], while the association with intestinal infection strengthened [OR = 2.21 (1.25, 3.89)]. CONCLUSIONS FOR PRATICE:Our findings provide strong evidence for a specific and clinically meaningful link between non-medically indicated caesarean delivery and infant intestinal infection.

journal_name

Matern Child Health J

authors

Betts KS,Magalhães RJS,Alati R

doi

10.1007/s10995-020-03065-4

subject

Has Abstract

pub_date

2020-11-23 00:00:00

eissn

1092-7875

issn

1573-6628

pii

10.1007/s10995-020-03065-4

pub_type

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