The provided text is an Open Access policy document from the University of Regensburg and contains no clinical data regarding the influence of mode of delivery on neonatal QTc.
Does primary caesarean section increase neonatal QTc compared to spontaneous delivery?
Primary caesarean section is associated with a significantly higher mean QTc and increased risk of prolonged QTc >450 ms in neonates compared to spontaneous delivery.
Objective: To evaluate the influence of mode of delivery on repolarisation and QT interval in the neonatal electrocardiogram (ECG). Study design: KUNO-Kids is a prospective, population-based birth cohort study. Neonates received an ECG within the first week of life; subgroups were divided according to mode of delivery. Effects on neonatal QT interval were tested by linear and logistic regression analyses, adjusting for age at ECG recording. Results: In total, 712 neonates were included. The primary caesarean section group showed a significant higher mean QTc (regression coefficient 6.03, p = 0.033) and a significantly increased rate of prolonged QTc >450 ms (odds ratio 2.4, p = 0.042), compared to the spontaneous delivery group. Conclusion: The mode of delivery has a significant effect on neonatal QTc. Clinicians should consider this influence when deciding on postnatal and follow-up examinations, regarding additional risk factors for acquired long QT interval.
Eder et al. (Thu,) reported a other. The provided text is an Open Access policy document from the University of Regensburg and contains no clinical data regarding the influence of mode of delivery on neonatal QTc.