Neonatal Morbidity and Mortality After Elective Cesarean Delivery

This article explores the effects of elective cesarean delivery (ECD) at term on neonatal morbidity and mortality.

Available data have limitations, and do not provide conclusive evidence regarding the safety of planned elective cesarean delivery versus planned vaginal delivery. Some data suggest an association between elective cesarean delivery and increased neonatal respiratory morbidity and lacerations, and possibly decreased central and peripheral nervous system injury.

Potentially increased risks of neonatal mortality with elective cesarean delivery at term may be counterbalanced by risks for fetal demise in ongoing pregnancies.

Patients and physicians considering elective cesarean delivery should review competing risks and benefits; further research is needed to inform these discussions.