Neonatal Outcomes
Neonatal outcomes are presented in Table 3 . Parturients who had
elective repeat CD were scheduled for surgery notably earlier than the
TOLAC group and the neonatal birth weights were significantly lower.
Consequently, rates of macrosomia neonates were significantly lower in
the elective repeat CD group. One-Minute Apgar score <7 was considerably more prevalent among those attempting TOLAC. Rates of
NICU admission were higher among those who had elective repeat CD.
However, 5-minute Apgar scores, TTN, neonatal asphyxia and mechanical
ventilation were comparable between the two groups. Overall, rates of
the composite adverse neonatal outcome were significantly higher among
those who had planned an elective repeat CD (11.0% vs. 6.2%,
p<0.01).
Table 4 displays the results of a multivariate regression model
which was conducted in order to account for independent factors
associated with composite adverse neonatal outcome. Attempting TOLAC was
not independently associated (aOR 0.48, 95% CI 0.22-1.04) with
composite adverse neonatal outcomes while failed TOLAC was found to be
independently associated with composite adverse neonatal outcome (aOR
6.08, 95% CI 2.19-16.90)