Epidemiology of readmissions in early infancy following nonelective cesarean delivery

Academic Article


  • 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).
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    Digital Object Identifier (doi)

    Author List

  • Ambalavanan N; Jauk V; Szychowski JM; Boggess KA; Saade G; Longo S; Esplin S; Cleary K; Wapner R; Letson K
  • Start Page

  • 24
  • End Page

  • 31
  • Volume

  • 41
  • Issue

  • 1