Format

Send to

Choose Destination
Am J Obstet Gynecol. 2010 Mar;202(3):250.e1-8. doi: 10.1016/j.ajog.2010.01.052.

Neonatal outcome following elective cesarean section beyond 37 weeks of gestation: a 7-year retrospective analysis of a national registry.

Author information

1
Department of Obstetrics and Gynecology, Sint Franciscus Gasthuis, Rotterdam, The Netherlands.

Abstract

OBJECTIVE:

We sought to evaluate number and timing of elective cesarean sections at term and to assess perinatal outcome associated with this timing.

STUDY DESIGN:

We conducted a recent retrospective cohort study including all elective cesarean sections of singleton pregnancies at term (n = 20,973) with neonatal follow-up. Primary outcome was defined as a composite of neonatal mortality and morbidity.

RESULTS:

More than half of the neonates were born at <39 weeks of gestation, and they were at significantly higher risk for the composite primary outcome than neonates born thereafter. The absolute risks were 20.6% and 12.5% for birth at <38 and 39 weeks, respectively, as compared to 9.5% for neonates born > or = 39 weeks. The corresponding adjusted odds ratios (95% confidence interval) were 2.4 (2.1-2.8) and 1.4 (1.2-1.5), respectively.

CONCLUSION:

More than 50% of the elective cesarean sections are applied at <39 weeks, thus jeopardizing neonatal outcome.

PMID:
20207243
DOI:
10.1016/j.ajog.2010.01.052
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center