Epidemiology of readmissions in early infancy following nonelective cesarean delivery. Academic Article uri icon

abstract

  • OBJECTIVE: Determine incidence and risk factors for readmissions in early infancy. STUDY DESIGN: Secondary analysis of data from the Cesarean Section Optimal Antibiotic Prophylaxis trial. All unplanned revisits (unplanned clinic, ER visits, and hospital readmissions) and hospital readmissions (initial discharge to 3-month follow-up) were analyzed. RESULTS: 295 (15.9%) of 1850 infants had revisits with risk factors being ethnicity (adjusted odds ratio (aOR): 0.6 for Hispanic), maternal postpartum antibiotics (1.89), azithromycin treatment (1.22), small for gestational age (1.68), apnea (3.82), and hospital stay after birth >90th percentile (0.49). 71 (3.8%) of 1850 infants were readmitted with risk factors being antenatal steroids (aOR 2.49), elective repeat C/section (0.72), postpartum maternal antibiotics (2.22), O2 requirement after delivery room (2.82), and suspected/proven neonatal sepsis (0.55). CONCLUSION(S): Multiple risk factors were identified, suggesting potential impact on the neonatal microbiome (maternal postpartum antibiotics) or issues related to access/cost of care (Hispanic ethnicity associated with fewer revisits).

published proceedings

  • J Perinatol

altmetric score

  • 0.25

author list (cited authors)

  • Ambalavanan, N., Jauk, V., Szychowski, J. M., Boggess, K. A., Saade, G., Longo, S., ... C/SOAP Consortium.

citation count

  • 0

complete list of authors

  • Ambalavanan, Namasivayam||Jauk, Victoria||Szychowski, Jeff M||Boggess, Kim A||Saade, George||Longo, Sherri||Esplin, Sean||Cleary, Kirsten||Wapner, Ronald||Letson, Kellett||Owens, Michelle||Blackwell, Sean||Andrews, William||Tita, Alan T

publication date

  • January 2021