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'Elective Caesarean Section at 38-39 Weeks Gestation Compared to > 39 Weeks on Neonatal Outcomes: A Prospective Cohort Study Publisher Pubmed



Pirjani R1, 2, 7, 9 ; Afrakhteh M3 ; Sepidarkish M4 ; Nariman S5 ; Shirazi M6 ; Moini A1, 7, 8 ; Hosseini L2, 9
Authors
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Authors Affiliations
  1. 1. Tehran University of Medical Sciences, Obstetrics and Gynecology Department, Arash Women's Hospital, Tehran, Iran
  2. 2. Tehran University of Medical Sciences, Research development center, Arash Women's Hospital, Tehran, Iran
  3. 3. Tehran University of Medical Sciences, School of medicine, Tehran, Iran
  4. 4. Royan Institute for Reproductive Biomedicine, ACECR, Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Tehran, Iran
  5. 5. Tehran University of Medical Sciences, Department of Pediatrics, Arash women's Hospital, Tehran, Iran
  6. 6. Tehran University of Medical Sciences, Maternal, Fetal and Neonatal Research Center, Tehran, Iran
  7. 7. Tehran University of Medical Sciences, Obstetrics and Gynecology Department, Arash Women's Hospital, Tehran, Iran
  8. 8. Royan Institute for Reproductive Biomedicine, ACECR., Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Tehran, Iran
  9. 9. Tehran University of Medical Sciences, Research development center, Arash Women's Hospital, Tehran, Iran

Source: BMC Pregnancy and Childbirth Published:2018


Abstract

Background: This study was conducted to compare neonatal complications in scheduled cesarean sections (CS) between 38 and 39 gestational weeks with CS performed after 39 gestational weeks in Iranian low -risk pregnant women. Methods: In this cohort study, 2086 patients were enrolled based on the inclusion and exclusion criteria. The neonates were evaluated in terms of the following items: transient tachypnea of the newborn (TTN), respiratory distress syndrome (RDS), sepsis, need for NICU hospitalization, birth weight, birth height, head circumference, and the first minute and fifth minute Apgar score. Several multiple logistic regression models were performed for each response variable (adverse outcome) separately. Results: The incidence of NICU admission was significantly higher in neonates born at 38-39 gestational weeks than those who were born after 39 gestational weeks. No significant differences were found in the incidence of neonatal sepsis, TTN, and RDS between the two groups. Conclusion: According to our study results, elective CS at 38-9 weeks' gestation is associated with a higher rate of TTN and NICU admission in comparison with elective CS performed after 39 completed gestational weeks. © 2018 The Author(s).