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Letters |

Long-term Pulmonary Consequences of Elective Cesarean Delivery—Reply

Gordon C. S. Smith, MD, PhD
JAMA. 2002;288(11):1352. doi:10.1001/jama.288.11.1350.
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In Reply: I agree with Dr Karlowicz that neonatal respiratory morbidity is a well-recognized complication of planned cesarean delivery.1 However, despite the well recognized relationship between short-term respiratory morbidity due to prematurity and later respiratory disease,2 I know of no data that indicate whether planned cesarean delivery, with or without neonatal respiratory morbidity, is associated with an increased risk of respiratory morbidity in infancy and childhood. To address this, my colleagues and I have just completed a large retrospective cohort study of singleton births with complete obstetric data, documentation of neonatal respiratory morbidity, and data on hospital admission of the offspring for respiratory disease in the first 5 to 9 years of life. We hope to report these data soon.

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