546: Singletons delivered by elective cesarean delivery at term have an increased risk of long-term endocrine morbidity Academic Article uri icon


  • Objective To determine whether elective cesarean delivery (CD) has an impact on the risk of long-term endocrine and metabolic morbidity of the offspring. Study Design A population- based cohort analysis was performed including all singleton term deliveries occurring between 1991-2014 at a single tertiary medical center. A comparison was performed between children delivered via a non-emergent (“elective”) CD and those delivered vaginally. Maternal thyroid disease, diabetes and hypertension, preterm deliveries, multiple gestation, and fetuses with congenital malformations were excluded. All cases of urgent CD were excluded from the analysis. Hospitalizations of the offspring up to the age of 18 years involving endocrine morbidity were evaluated. A Kaplan-Meier survival curve was used to compare cumulative morbidity incidence. A Cox regression model was used to control for …

publication date

  • January 1, 2018