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https://hdl.handle.net/2440/85860
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Type: | Journal article |
Title: | Neonatal outcome following elective cesarean section beyond 37 weeks of gestation: a 7-year retrospective analysis of a national registry |
Author: | Wilmink, F. Hukkelhoven, C. Lunshof, S. Mol, B. van der Post, J. Papatsonis, D. |
Citation: | American Journal of Obstetrics and Gynecology, 2010; 202(3):250- |
Publisher: | Mosby |
Issue Date: | 2010 |
ISSN: | 0002-9378 1097-6868 |
Statement of Responsibility: | Freke A. Wilmink, Chantal W.P.M. Hukkelhoven, Simone Lunshof, Ben Willem J. Mol, Joris A.M. van der Post, Dimitri N.M. Papatsonis |
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 ≥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. |
Keywords: | Cesarean section; elective; neonatal morbidity; neonatal outcome; timing |
Description: | Presented orally at the 30th Annual Meeting of the Society for Maternal-Fetal Medicine, Chicago, IL, Feb. 1-6, 2010 |
Rights: | Copyright © 2010 Mosby, Inc. All rights reserved. |
DOI: | 10.1016/j.ajog.2010.01.052 |
Published version: | http://dx.doi.org/10.1016/j.ajog.2010.01.052 |
Appears in Collections: | Aurora harvest 2 Obstetrics and Gynaecology publications |
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