American journal of obstetrics and gynecology · 2010
Neonatal outcome following elective cesarean section beyond 37 weeks of gestation: a 7-year retrospective analysis of a national registry.
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Wilmink Freke A, Hukkelhoven Chantal W P M, Lunshof Simone, Mol Ben Willem J, van der Post Joris A M, Papatsonis Dimitri N M
Аннотация
OBJECTIVE: We sought to evaluate number and timing of elective cesarean sections at term and to assess perinatal outcome associated with this timing.
STUDY DESIGN: We conducted a recent retrospective cohort study including all elective cesarean sections of singleton pregnancies at term (n = 20,973) with neonatal follow-up. Primary outcome was defined as a composite of neonatal mortality and morbidity.
RESULTS: More than half of the neonates were born at <39 weeks of gestation, and they were at significantly higher risk for the composite primary outcome than neonates born thereafter. The absolute risks were 20.6% and 12.5% for birth at <38 and 39 weeks, respectively, as compared to 9.5% for neonates born > or = 39 weeks. The corresponding adjusted odds ratios (95% confidence interval) were 2.4 (2.1-2.8) and 1.4 (1.2-1.5), respectively.
CONCLUSION: More than 50% of the elective cesarean sections are applied at <39 weeks, thus jeopardizing neonatal outcome.
STUDY DESIGN: We conducted a recent retrospective cohort study including all elective cesarean sections of singleton pregnancies at term (n = 20,973) with neonatal follow-up. Primary outcome was defined as a composite of neonatal mortality and morbidity.
RESULTS: More than half of the neonates were born at <39 weeks of gestation, and they were at significantly higher risk for the composite primary outcome than neonates born thereafter. The absolute risks were 20.6% and 12.5% for birth at <38 and 39 weeks, respectively, as compared to 9.5% for neonates born > or = 39 weeks. The corresponding adjusted odds ratios (95% confidence interval) were 2.4 (2.1-2.8) and 1.4 (1.2-1.5), respectively.
CONCLUSION: More than 50% of the elective cesarean sections are applied at <39 weeks, thus jeopardizing neonatal outcome.
Предметные рубрики MeSH
AdultAge FactorsApgar ScoreBirth WeightCesarean SectionCohort StudiesFemaleGestational AgeHumansHypoglycemiaInfant MortalityInfant, NewbornInfant, Newborn, DiseasesIntensive Care Units, NeonatalIntracranial HemorrhagesNetherlandsOutcome Assessment, Health CareParityPatient AdmissionPregnancyPulmonary EdemaRacial GroupsRegistriesRespiratory Distress Syndrome, NewbornResuscitationRetrospective StudiesSeizuresSepsis