380: Mode of delivery following prolonged second stage of labor: Does it affect the long-term neurological outcome of the offspring? Academic Article uri icon


  • Objective Concerns exist with regards to long term developmental outcome of the offspring following vacuum delivery. We aimed to evaluate an association between prolonged second stage of labor leading to vacuum and/or cesarean delivery (CD) and long-term neurological morbidity of the offspring. Study Design A population based cohort analysis was performed comparing the risk of long-term neurological morbidity (up to the age of 18 years) of children born following non-progressive labor of the second stage. Three groups were compared: successful vacuum extraction, CD, and CD following a failed vacuum attempt. Neurological morbidity included hospitalizations involving a pre-defined set of ICD-9 codes, as recorded in the hospital records. Deliveries occurred between the years 1991-2013 in a tertiary medical center. Multiple pregnancies and fetal congenital malformations were excluded …

publication date

  • January 1, 2018