Neonatal outcomes following elective caesarean delivery at term: a hospital-based cohort study
| Autor: | Daragh Finn, Sinéad M. O'Neill, Keelin O'Donoghue, Eugene M. Dempsey, Ali S. Khashan, Aedin Collins |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Pediatrics Neonatal intensive care unit Gestational Age 03 medical and health sciences Patient Admission 0302 clinical medicine Pregnancy Intensive Care Units Neonatal Intensive care medicine Humans 030212 general & internal medicine Retrospective Studies 030219 obstetrics & reproductive medicine Cesarean Section Obstetrics business.industry Infant Newborn Obstetrics and Gynecology Gestational age Retrospective cohort study Odds ratio Length of Stay Jaundice Elective Surgical Procedures Pediatrics Perinatology and Child Health Gestation Female medicine.symptom business Cohort study |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 29:904-910 |
| ISSN: | 1476-4954 1476-7058 |
| Popis: | Objective: To assess neonatal outcomes following elective caesarean delivery (CD) at term (≥37 + 0 weeks gestation).Methods: A retrospective cohort study was conducted in a single Irish maternity hospital. Elective CDs at term between August 2008 and July 2012 were reviewed. Outcome measures were admission to the neonatal intensive care unit (NICU), length of stay, respiratory complications, hypoglycaemia, jaundice, newborn sepsis and medical interventions.Results: A total of 4242 women had an elective CD at term, accounting for approximately 15% of all term deliveries. Admission rate to the NICU at 37 weeks gestation was 21.8% versus 10% at 39 weeks (p for trend Conclusions: This study supports evidence that, with regard to neonatal outcome, 39 weeks gestational age is the optimal delivery time. Heightened awareness of the increased risk of neonatal morbidity, when delivery is performed electively before 39 weeks, is warranted among healthcare workers. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|