Document Detail


Late better than yearly elective term C-section.
MedLine Citation:
PMID:  22758608     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  Cesarean section (CS) deliveries have increased, mostly due to patient/obstetrician preference. Although CS decreases the risk of delivery-related injuries, it increases the risk for respiratory and neurologic complications. Complication rates are reportedly higher for elective CSs for term infants performed at 37-38 gestational weeks than later. We investigated this difference in an Israeli cohort. Methods:  Data on all births in our medical center during 2007-2009 were reviewed. Those on elective CSs for term infants were retrieved and divided into "early" (37-38 gestational weeks) or "late" (week 39 or later) groups whose epidemiological and outcome characteristics were compared. Result:  Of the 12,276 births, 596 were early and 454 were late elective CSs. There were no differences in gender, ethnicity, Apgar score, or length of hospital stay. Twenty-six infants from the early group and 11 infants from the late group were transferred to the neonatal intensive care unit. Within them, compared to all elective CSs, the morbidity rate was higher for the former infants than for the latter. Conclusion:  Morbidity was higher among infants who were delivered at 37-38 gestational weeks by elective CS. We recommend postponing elective CSs to ≥39 weeks. © 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica.
Authors:
Vered Nir; Erez Nadir; Michael Feldman
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-3
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica.
Affiliation:
Department of Neonatology, Hillel Yaffe Medical Center, Hadera 38100, Israel.
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