Document Detail


Neonatal outcomes in relation to timing of repeat cesarean delivery at term.
MedLine Citation:
PMID:  19392609     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Methodius G Tuuli; Anthony O Odibo
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Publication Detail:
Type:  Comment; Journal Article    
Journal Detail:
Title:  Women's health (London, England)     Volume:  5     ISSN:  1745-5065     ISO Abbreviation:  -     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-04-27     Completed Date:  2009-07-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101271249     Medline TA:  Womens Health (Lond Engl)     Country:  England    
Other Details:
Languages:  eng     Pagination:  239-42     Citation Subset:  -    
Affiliation:
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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Comment On:
N Engl J Med. 2009 Jan 8;360(2):111-20   [PMID:  19129525 ]

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