| Neonatal outcomes in relation to timing of repeat cesarean delivery at term. | |
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MedLine Citation:
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PMID: 19392609 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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The increasing rates of repeat cesarean delivery necessitate, more than ever, the need to time deliveries to optimize neonatal outcomes. A recent large multicenter cohort study demonstrated that, contrary to current recommendations, a high proportion of elective cesarean deliveries in the USA are performed before 39 weeks' gestation. These early deliveries are associated with a significant increase in several adverse neonatal events, including respiratory complications, treated hypoglycemia, newborn sepsis and admission to the neonatal intensive care unit. This, together with results of previous studies, supports the recommendation to delay elective delivery to 39 weeks' gestation. From the current data, it is uncertain whether delivery before 39 weeks' gestation with documented fetal lung maturity will prevent the increased neonatal morbidity. |
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Authors:
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Methodius G Tuuli; Anthony O Odibo |
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Publication Detail:
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Type: Comment; Journal Article |
Journal Detail:
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Title: Women's health (London, England) Volume: 5 ISSN: 1745-5065 ISO Abbreviation: - Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-04-27 Completed Date: 2009-07-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101271249 Medline TA: Womens Health (Lond Engl) Country: England |
Other Details:
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Languages: eng Pagination: 239-42 Citation Subset: - |
Affiliation:
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Washington University School of Medicine, Department of Obstetrics & Gynecology, Division of Maternal-Fetal Medicine, 660 S Euclid, St Louis, MO 63110, USA. tuulim@wudosis.wustl.edu |
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| Comments/Corrections | |
Comment On:
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N Engl J Med. 2009 Jan 8;360(2):111-20
[PMID:
19129525
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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