Timing of elective repeat cesarean delivery at term and neonatal outcomes

The New England Journal of Medicine
Alan Thevenet N TitaEunice Kennedy Shriver NICHD Maternal-Fetal Medicine Units Network

Abstract

Because of increased rates of respiratory complications, elective cesarean delivery is discouraged before 39 weeks of gestation unless there is evidence of fetal lung maturity. We assessed associations between elective cesarean delivery at term (37 weeks of gestation or longer) but before 39 weeks of gestation and neonatal outcomes. We studied a cohort of consecutive patients undergoing repeat cesarean sections performed at 19 centers of the Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network from 1999 through 2002. Women with viable singleton pregnancies delivered electively (i.e., before the onset of labor and without any recognized indications for delivery before 39 weeks of gestation) were included. The primary outcome was the composite of neonatal death and any of several adverse events, including respiratory complications, treated hypoglycemia, newborn sepsis, and admission to the neonatal intensive care unit (ICU). Of 24,077 repeat cesarean deliveries at term, 13,258 were performed electively; of these, 35.8% were performed before 39 completed weeks of gestation (6.3% at 37 weeks and 29.5% at 38 weeks) and 49.1% at 39 weeks of gestation. One neonatal death...Continue Reading

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Jul 5, 2012·Acta Paediatrica·Vered NirMichael Feldman
Jan 23, 2013·Epidemiology·Casey CrumpJan Sundquist
Oct 29, 2014·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Eileen A CurranPatricia M Kearney
Aug 11, 2012·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·Abdel-Baset F MohammedMahmoud F Abu-Jubara
Oct 24, 2014·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Lillian Y ZhangChristine L Roberts
Jun 22, 2012·European Journal of Anaesthesiology·Thomas M Berger
May 27, 2016·The Journal of Obstetrics and Gynaecology Research·Ertugrul KarahanogluSerdar Yalvac
Sep 22, 2016·Journal of Obstetrics and Gynaecology of India·Georgy Joy Eralil
May 9, 2019·Archives of Gynecology and Obstetrics·Dana VitnerAmir Aviram
Jun 2, 2011·Arthritis and Rheumatism·Eliza F Chakravarty
Jul 5, 2012·Journal of Midwifery & Women's Health·Diana R JollesKaren B King
Jun 5, 2013·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Aseel AlkiaatJan E Dickinson
Jun 11, 2011·Maternal and Child Health Journal·Claire A HoffmireJ Christopher Glantz
Mar 3, 2011·Acta Paediatrica·Girija NatarajanSanjeev Aggarwal
Jun 27, 2014·Archives of Disease in Childhood. Fetal and Neonatal Edition·Evelyn Chan, Maria A Quigley
Jan 16, 2013·BJOG : an International Journal of Obstetrics and Gynaecology·A KarlströmI Hildingsson
Sep 4, 2015·Infant Mental Health Journal·Dominique A JaegerNina Gawehn
Oct 22, 2014·Paediatrics & Child Health·Chelsea A RuthMarni D Brownell
Jun 27, 2015·Paediatric and Perinatal Epidemiology·Kristjana EinarsdóttirFiona J Stanley
Jul 7, 2016·Journal of Obstetrics and Gynaecology of India·Abdul RazakPankaj Kumar Mohanty
Nov 23, 2019·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·Johanna Vigdis RikhardsdottirThordur Thorkelsson
Jun 10, 2014·Acta Obstetricia Et Gynecologica Scandinavica·Benedicte CoulmCamille Le Ray
Nov 23, 2011·Obstetrics and Gynecology·Robert M SilverMark A Klebanoff
Nov 22, 2016·Paediatric and Perinatal Epidemiology·Catherine Y Spong
May 21, 2013·BJOG : an International Journal of Obstetrics and Gynaecology·Julie GlavindT B Henriksen
Oct 11, 2017·Journal of Policy Analysis and Management : [the Journal of the Association for Public Policy Analysis and Management]·Kasey Buckles, Melanie Guldi
Jul 26, 2017·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·Oshrit LebovitzYinon Gilboa
Oct 1, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Moshe HodHema Divakar
Jun 7, 2019·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Freke A WilminkBen W Mol
Jul 25, 2019·Cadernos de saúde pública·Maria do Carmo LealMaria Esther de Albuquerque Vilela
May 1, 2010·Archives of Gynecology and Obstetrics·Aysel DerbentNilgün Oztürk Turhan
Dec 3, 2010·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·Gerson D HernandezJoseph G Ouzounian
Sep 8, 2011·BJOG : an International Journal of Obstetrics and Gynaecology·K S Joseph
Apr 21, 2011·Maternal and Child Health Journal·Samantha J LainChristine L Roberts
Aug 14, 2020·Pediatrics International : Official Journal of the Japan Pediatric Society·Ozgul Bulut, Derya Buyukkayhan
Aug 8, 2015·Deutsches Ärzteblatt International·Ioannis Mylonas, Klaus Friese
Nov 28, 2012·Deutsches Ärzteblatt International·Christian F PoetsKlaus Vetter
Feb 9, 2021·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·Rodney McLarenHoward Minkoff
Oct 30, 2020·BMJ Open·Getayeneh Antehunegn TesemaSolomon Gedlu Nigatu
Dec 16, 2020·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·Adina R Kern-GoldbergerCynthia Gyamfi-Bannerman
Oct 16, 2020·The Clinical Respiratory Journal·Zuhal Gundogdu
Nov 5, 2020·International Journal of Environmental Research and Public Health·Aneta Słabuszewska-JóźwiakGrzegorz Jakiel
Jan 17, 2021·American Journal of Obstetrics & Gynecology MFM·K S JosephNandini Dendukuri
Mar 9, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Gulim MurzakanovaKatariina Laine
Dec 24, 2017·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Katy B KozhimannilJonathan M Snowden
Mar 26, 2015·Women and Birth : Journal of the Australian College of Midwives·Kuei-Hui ChuLi-Yin Chien
Oct 5, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Moshe HodHema Divakar
May 9, 2020·The Journal of Pediatrics·Deborah L HarrisJane E Harding
Jul 15, 2011·American Journal of Obstetrics and Gynecology·Beena D KamathEmily A DeFranco
Jan 31, 2015·American Journal of Obstetrics and Gynecology·Janine E SpainAlison G Cahill
Dec 20, 2011·American Journal of Obstetrics and Gynecology·Robert L GoldenbergJose Villar
Jan 17, 2012·American Journal of Obstetrics and Gynecology·Alan Thevenet N TitaJay Iams
Mar 9, 2010·American Journal of Obstetrics and Gynecology·Edward F DonovanOhio Perinatal Quality Collaborative Writing Committee
Apr 27, 2010·American Journal of Obstetrics and Gynecology·Edward F DonovanOhio Perinatal Quality Collaborative
Dec 11, 2019·Neuroscience and Biobehavioral Reviews·Bogdana Golofast, Karel Vales

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