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Long-term Neurological Health Of The Term Offspring Born Via Cesarean Section For Non-reassuring Fetal Monitoring.

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Long-term Neurological Health Of The Term Offspring Born Via Cesarean Section For Non-reassuring Fetal Monitoring.

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Long-term neurological health of the term offspring born via cesarean section for non-reassuring fetal monitoring.

Gil Gutvirtz¹, Gali Pariente², Tamar Wainstock³

¹Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, 151 Izak Rager Ave, 84101, Beer-Sheva, Israel. Gilgut@bgu.ac.il.

Archives of Gynecology and Obstetrics

|January 6, 2026

View abstract on PubMed

Summary

This summary is machine-generated.

Cesarean delivery (CD) for non-reassuring fetal heart rate (NRFHR) did not increase long-term neurological morbidity in children. Prompt intervention during labor may prevent adverse neurological outcomes, regardless of delivery method.

Keywords:

Cesarean delivery Fetal monitoring Intrapartum Long-term follow-up Neurological morbidity Perinatal outcomes Term delivery

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Area of Science:

Obstetrics and Gynecology
Neonatal Neurology
Perinatal Medicine

Background:

Intrapartum fetal heart rate (FHR) monitoring may reduce intrapartum death.
Evidence linking FHR monitoring to reduced long-term neurological impairment is limited.
Cesarean delivery (CD) for non-reassuring FHR (NRFHR) is common, but its impact on offspring neurological outcomes requires clarification.

Purpose of the Study:

To evaluate long-term neurological morbidity in offspring born via CD for NRFHR.
To compare neurological outcomes between CD for NRFHR and CD for non-progressive labor (NPL).

Main Methods:

Population-based cohort analysis of term singleton births.
Comparison of CD for NRFHR versus CD for NPL.
Assessment of neurological morbidity up to 18 years of age.

Kaplan-Meier survival curves and generalized estimating equations (GEE) for analysis.

Main Results:

14,333 term singleton CDs met inclusion criteria (59.0% for NRFHR, 41.0% for NPL).
Total long-term neurological morbidity rates were comparable between NRFHR and NPL groups.
NRFHR leading to CD was not a significant risk factor for offspring long-term neurological morbidity (aHR 1.87, 95% CI 0.74-4.72).

Conclusions:

Intrapartum NRFHR leading to CD does not predict long-term neurological morbidity.
Prompt intervention during labor may mitigate neurological risks associated with NRFHR.
Further research may explore the specific mechanisms of prompt intervention in preventing neurological impairment.