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Timing of elective cesarean section and neonatal morbidity: a population-based study
| Content Provider | Scilit |
|---|---|
| Author | Vidic, Zala Blickstein, Isaac Gantar, Irena Štucin Verdenik, Ivan Tul, Nataša |
| Copyright Year | 2015 |
| Description | Journal: The Journal of Maternal-Fetal & Neonatal Medicine Purpose: To assess the incidence of neonatal complications related to gestational age at elective cesarean section near term. Methods: We used a population-based dataset to compare neonatal outcomes by gestational age in uncomplicated singleton pregnancies delivered by elective cesarean section ≥37 weeks. Results: A total of 7364 mothers had an elective cesarean during 2002–2012; 343 (4.7%) at 37, 21 753 (3.8%) at 38, 3140 (2.6%) at 39, 1718 (23.3%) at 40 and 410 (5.6%) at ≥41 weeks. Infants born at a lower gestational age had a higher rate of Apgar scores <7 (2%, 0.4%, 0.6%, 0,3%, 0.2% at 37, 38, 39, 40 and ≥41 week, p = 0.013), hypoglycemia (1.5%, 1.0%, 0.8%, 0.4%, 0.5% at 37, 38, 39, 40 and ≥ 41 week, p = 0.012), hyperbilirubinemia (12.2%, 9.5%, 6.4%, 4.8%, 4.1% at 37, 38, 39, 40 and ≥ 41 week, p < 0.001), respiratory distress syndrome (5.5%, 2.2%, 1.6%, 0.5%, 0.7% at 37, 38, 39, 40 and ≥ 41 week, p < 0.001), and neonatal intensive care admissions (8.7%, 2.3%, 1.9%, 1.0%, 1.7% at 37, 38, 39, 40 and ≥ 41 week, p < 0.001). Conclusions: Elective cesarean section at ≥ 39 weeks gestation would significantly reduce neonatal complications. |
| Related Links | https://www.tandfonline.com/doi/pdf/10.3109/14767058.2015.1087500 |
| Ending Page | 3 |
| Page Count | 3 |
| Starting Page | 1 |
| ISSN | 14767058 |
| e-ISSN | 14764954 |
| DOI | 10.3109/14767058.2015.1087500 |
| Journal | The Journal of Maternal-Fetal & Neonatal Medicine |
| Issue Number | 15 |
| Volume Number | 29 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2015-10-07 |
| Access Restriction | Open |
| Subject Keyword | Journal: The Journal of Maternal-Fetal & Neonatal Medicine Obstetrics and Gynecology Elective Cesarean Section Gestational Age Neonatal Morbidity Population-based Study |
| Content Type | Text |
| Subject | Pediatrics, Perinatology and Child Health Obstetrics and Gynecology |