663: Vacuum, failed vacuum, and/or cesarean delivery for prolonged second stage do not impact differently on long-term health of the offspring Academic Article uri icon


  • Objective We aimed to evaluate whether an association exists between prolonged second stage of labor leading to vacuum and/or cesarean delivery (CD) and long-term morbidity of the offspring. Study Design A population based cohort analysis was performed comparing the risk of long-term composite morbidity (up to the age of 18 years) of children born following prolonged second stage of labor. Three groups were compared: successful vacuum extraction, CD following a failed vacuum attempt, and CD without a previous vacuum attempt. Composite morbidity included hospitalizations involving a pre-defined set of ICD-9 codes, including cardiac, respiratory, endocrinology, hematology, infectious, and urology related hospitalizations (according to hospital records). Deliveries occurred between the years 1991-2013 in a tertiary medical center. Multiple pregnancies and fetal …

publication date

  • January 1, 2017