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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