Neonatal Outcomes
Neonatal outcomes are presented in Table 3 . Parturients who had elective repeat CD were scheduled for surgery notably earlier than the TOLAC group and the neonatal birth weights were significantly lower. Consequently, rates of macrosomia neonates were significantly lower in the elective repeat CD group. One-Minute Apgar score <7 was considerably more prevalent among those attempting TOLAC. Rates of NICU admission were higher among those who had elective repeat CD. However, 5-minute Apgar scores, TTN, neonatal asphyxia and mechanical ventilation were comparable between the two groups. Overall, rates of the composite adverse neonatal outcome were significantly higher among those who had planned an elective repeat CD (11.0% vs. 6.2%, p<0.01).
Table 4 displays the results of a multivariate regression model which was conducted in order to account for independent factors associated with composite adverse neonatal outcome. Attempting TOLAC was not independently associated (aOR 0.48, 95% CI 0.22-1.04) with composite adverse neonatal outcomes while failed TOLAC was found to be independently associated with composite adverse neonatal outcome (aOR 6.08, 95% CI 2.19-16.90)