Table 3.

Neonatal Morbidity

Elective
Cesarean Section
Trial of
Labor
Routine Vaginal
Delivery
P*
n = 497n = 492n = 989
Respiratory problems, total (n, %)b35 (7)26 (5)38 (4)<.03
 Transient tachypneaa,b31 (6)17 (3)28 (3)<.006
 Respiratory distress syndromeb2 (0.4)00
 Persistent pulmonary hypertension003 (0.3)
 Pneumonia1 (0.2)6 (1)6 (1)NS
 Meconium aspiration syndrome1 (0.2)3 (1)1 (0.1)NS
Suspected sepsisa,c9 (2)26 (5)26 (3)<.004
Proven sepsisa,c04 (1)1 (0.1)<.02
Bilirubin ≥13 mg/dLa,b29 (6)11 (2)22 (2)<.0001
  • * Overall differences among the groups.

    aP < .05, ERCS vs trial of labor.

    bP < .05, ERCS vs vaginal control.

    cP < .05, Trial of labor vs vaginal control.