ArticleArchives of gynecology and obstetrics2026
Long-term neurological health of the term offspring born via cesarean section for non-reassuring fetal monitoring.
Article in Archives of gynecology and obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
purposeWhile some evidence suggests that intrapartum fetal heart rate (FHR) monitoring is associated with a reduction in intrapartum death, a reduction in long-term neurological impairment has not been proven. In this study, we sought to evaluate the offspring long-term neurological morbidity of children born via cesarean delivery (CD) for non-reassuring FHR (NRFHR) indication.
methodsA population-based cohort analysis was performed comparing long-term neurological morbidity of term children born via CD for NRFHR as compared with children born via CD for non-progressive labor (NPL), at a single medical center. Neurological morbidity of the offspring was assessed using data from community-based clinics and/or hospitalizations up to 18 years involving neurological morbidity. A Kaplan-Meier survival curve was used to compare cumulative neurological morbidity incidence between the groups. A generalized estimating equations (GEE) model was used to control for possible confounders.
results14,333 term singleton intrapartum CDs met the inclusion criteria. Of those, 59.0% were for NRFHR indication and 41.0% for NPL. Rate of total long-term neurological morbidity was comparable between the groups. The Kaplan-Meier survival curve also shows comparable cumulative incidence of neurological morbidity in both groups (Log-rank, p = 0.390). In the GEE model, controlling for repeated deliveries of the same mother (siblings), child birth year, follow-up time and multiple other confounders, NRFHR leading to CD was not found as a risk factor for offspring long-term neurological morbidity (aHR 1.87, 95%CI 0.74-4.72, p = 0.184).
conclusionsIntrapartum NRFHR leading to CD did not predict long-term neurological morbidity of the offspring, possibly due to prompt intervention.
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