Retrospective cohort study to investigate the impact of timing for term cesarean delivery on maternal and neonatal outcomes

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Carolyn F WeinigerSmadar Eventov Friedman

Abstract

Early-term cesarean delivery (CD) increases neonatal respiratory morbidity; however, planned late-term cesarean delivery (CD) may generate urgent CD related to spontaneous onset of labor. We investigated maternal and neonatal morbidity for planned early (37/38 week) versus late-term (39/40 weeks) CD. Our primary study aim was to investigate severe maternal morbidity and general anesthesia rates according to early versus late-term CD. Our secondary study aims were to investigate the rate of urgent surgery and other measures of maternal morbidity, and neonatal morbidity, according to early versus late-term CD and according to urgent versus elective planned CD. In our retrospective, ethically approved study of planned CD we compared maternal morbidity and neonatal respiratory morbidity, for early versus late-term CD. Among 370 early versus 300 late-term CD, women who delivered at late-term CD had significantly higher rates of urgent surgery 101 (33.7%) versus 85 (23.0%) at early-term, p = .002; spontaneous onset of labor 85 (28.3%) versus 67 (18.1%), p = .0002 and out-of-hours surgery 101 (33.7%) versus 64 (17.3%), p < .0001. The frequency of neonatal respiratory morbidity composite was 10 (2.7%) for early versus 1 (0.3%) for late...Continue Reading

References

May 9, 2007·Acta Obstetricia Et Gynecologica Scandinavica·Anne Kirkeby HansenTine Brink Henriksen
Jun 24, 2008·Acta Obstetricia Et Gynecologica Scandinavica·Nanneli PallasmaaMika Gissler
Jan 9, 2009·The New England Journal of Medicine·Alan T N TitaUNKNOWN Eunice Kennedy Shriver NICHD Maternal-Fetal Medicine Units Network
May 21, 2013·BJOG : an International Journal of Obstetrics and Gynaecology·J GlavindT B Henriksen
Jun 26, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Nir MelamedYariv Yogev
Apr 4, 2014·BMC Pregnancy and Childbirth·Christine L RobertsJian Sheng Chen

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