新生児・小児医学

抽象的な

Neonatal Outcomes in Relation to Timing of Term Cesarean Delivery: An Observational Study

Ali Khairrallah A

Aim

To study neonatal outcomes associated with emergency CS performed beyond 37 weeks’ gestation.

Methods

This retrospective observational study was conducted at Obstetrics department, King Abdul-Aziz Specialist Hospital, KSA, from the start of July 2015 to the end of September 2016 among women presented for emergency CS beyond 37 weeks’ gestation. 1105 cases were eligible for the study. Medical records were reviewed for demographic and clinical data, timing of emergency cesarean deliveries and any adverse neonatal outcomes. Main outcome measures were neonatal adverse outcomes (death, respiratory distress syndrome, neonatal sepsis, neonatal jaundice, cardiopulmonary resuscitation or ventilator support within 24 h after birth, admission to the NICU) were assessed in relation to the timing of CS.

Results

Gestational age at delivery was divided into two groups: 37-38+6 weeks and 39-40+6 weeks. Most adverse neonatal outcomes were significantly higher with lower gestational age (P-value˂0.05).

Conclusion

CS prior to 39 weeks is associated with significant adverse neonatal outcomes. Hence, delaying CS until 39 weeks of gestation in the absence of obstetric or medical indications for early delivery is a must.