Risk of Severe Adverse Maternal and Neonatal Outcomes in Deliveries with Repeated and Primary Cesarean Deliveries versus Vaginal Deliveries: A Cross-Sectional Study
Table 4
Neonatal outcomes by mode of delivery.
Neonatal outcomes
VD
Primary CD
Repeated CD
Reference group
Crude OR [95% CI]
aOR [95% CI]
Crude OR [95% CI]
aOR [95% CI]
Neonatal deaths
1
0.33 (0.03-3.20)
0.34 (0.01-6.73)
0.33 (0.03-3.20)
Not estimable
Neonatal near miss (NNM)
1
1.80 (1.28-2.53)
1.71 (1.17-2.51)
1.21 (0.84-1.73)
1.58 (0.98-2.56)
Severe neonatal outcomes (SNO)
1
1.73 (1.24-2.41)
1.66 (1.14-2.43)
1.16 (0.81-1.66)
1.61 (0.99-2.60)
Apgar score at 5 minutes <7
1
2.83 (1.02-7.91)
3.74 (1.06-13.17)
2.21 (0.77-6.41)
7.45 (1.28-43.46)
Neonatal resuscitation
1
1.78 (1.27-2.50)
1.72 (1.17-2.53)
1.19 (0.83-1.71)
1.56 (0.96-2.52)
Preterm birth (<37 weeks)
1
0.89 (0.62-1.27)
0.88 (0.55-1.41)
1.26 (0.90-1.76)
1.09 (0.68-1.74)
Low birth weight (<2500 g)
1
1.03 (0.73-1.46)
0.90 (0.60-1.35)
0.81 (0.56-1.17)
0.93 (0.58-1.49)
Adjusted by maternal age, level of education, parity, pregestational BMI, medical and obstetrical conditions and birth weight (g). Women with vaginal delivery is the reference. CD: cesarean delivery; VD: vaginal delivery.
