Details

Autor(en) / Beteiligte

• Tita, Alan T.N
• Landon, Mark B
• Spong, Catherine Y
• Lai, Yinglei
• Leveno, Kenneth J
• Varner, Michael W
• Moawad, Atef H
• Caritis, Steve N
• Meis, Paul J
• Wapner, Ronald J
• Sorokin, Yoram
• Miodovnik, Menachem
• Carpenter, Marshall
• Peaceman, Alan M
• O'Sullivan, Mary J
• Sibai, Baha M
• Langer, Oded
• Thorp, John M
• Ramin, Susan M
• Mercer, Brian M

Titel

Timing of Elective Repeat Cesarean Delivery at Term and Neonatal Outcomes

Ist Teil von

• The New England journal of medicine, 2009-01, Vol.360 (2), p.111-120

Ort / Verlag

Waltham, MA: Massachusetts Medical Society

Erscheinungsjahr

2009

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Among a large cohort of women with viable singleton pregnancies who underwent elective repeat cesarean sections, more than a third of deliveries were performed before 39 weeks of gestation. As compared with deliveries at or after 39 weeks, deliveries before 39 weeks of gestation — even those during the last 3 days before week 39 — were associated with an increased risk of a composite primary outcome that included neonatal death, respiratory complications, need for mechanical ventilation, treated hypoglycemia, newborn sepsis, and admission to the neonatal intensive care unit. As compared with deliveries at or after 39 weeks, cesarean deliveries before 39 weeks of gestation were associated with an increased risk of a composite primary outcome that included neonatal death, respiratory complications, need for mechanical ventilation, treated hypoglycemia, newborn sepsis, and admission to the neonatal intensive care unit. Infants born before 39 weeks of gestation are at increased risk for neonatal adverse respiratory outcomes, and the risk increases progressively as gestational age at birth declines. 1 , 2 Thus, prelabor elective delivery (delivery in the absence of a specific maternal or fetal indication) is proscribed before 39 weeks unless fetal lung maturity has been demonstrated. 3 , 4 As compared with infants born vaginally, those born by cesarean section are at increased risk for adverse respiratory outcomes, especially when delivery occurs before the onset of labor. 1 , 2 , 5 – 11 This increased risk persists even in infants who are delivered by cesarean section . . .