Document Detail


Elective cesarean section and induction and their impact on late preterm births.
MedLine Citation:
PMID:  17148005     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
At all gestational ages, the risks of continuing a pregnancy must be carefully balanced against the risks of delivery and the associates risk of prematurity. This concept is of increasing importance in late preterm pregnancy when medical or obstetric complications frequently warrant delivery and the risk of prematurity persists. Given that morbidity exists for infants born between 34 and 37 weeks gestations, efforts should be focused on minimizing the late preterm birth rate and at improving the outcome of these infants. Published guidelines outlining the appropriate timing of elective induction of labor and elective Cesarean section should be closely followed to avoid unintended iatrogenic prematurity. Research should continue to investigate the etiology of spontaneous preterm deliveries and aim to develop strategies of primary prevention. The incidence and etiology of iatrogenic late preterm birth should also be further investigated and alternative management strategies should be considered. To gain information about the impact of elective delivery on late preterm births, the data collected from birth records should reflect the changing obstetric practices in the United States and be revised to include specific information on elective deliveries.
Authors:
Karin Fuchs; Ronald Wapner
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in perinatology     Volume:  33     ISSN:  0095-5108     ISO Abbreviation:  Clin Perinatol     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-06     Completed Date:  2007-02-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501306     Medline TA:  Clin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  793-801; abstract viii     Citation Subset:  IM    
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, Presbyterian Hospital, New York, NY 11032, USA.
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MeSH Terms
Descriptor/Qualifier:
Cesarean Section / statistics & numerical data*
Female
Humans
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / prevention & control
Labor, Induced / statistics & numerical data*
Pregnancy
Premature Birth / epidemiology,  etiology*
Surgical Procedures, Elective / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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