Timing of elective cesarean section and neonatal morbidity: a population-based study.

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

PubMedID: 26444222

Vidic Z, Blickstein I, Štucin Gantar I, Verdenik I, Tul N. Timing of elective cesarean section and neonatal morbidity: a population-based study. J Matern Fetal Neonatal Med. 2016;1-3.
PURPOSE
To assess the incidence of neonatal complications related to gestational age at elective cesarean section near term.

METHODS
We used a population-based dataset to compare neonatal outcomes by gestational age in uncomplicated singleton pregnancies delivered by elective cesarean section =37 weeks.

RESULTS
A total of 7364 mothers had an elective cesarean during 2002-2012; 343 (4.7%) at 37, 21?753 (3.8%) at 38, 3140 (2.6%) at 39, 1718 (23.3%) at 40 and 410 (5.6%) at =41 weeks. Infants born at a lower gestational age had a higher rate of Apgar scores?<7 (2%, 0.4%, 0.6%, 0,3%, 0.2% at 37, 38, 39, 40 and =41 week, p?=?0.013), hypoglycemia (1.5%, 1.0%, 0.8%, 0.4%, 0.5% at 37, 38, 39, 40 and =?41 week, p?=?0.012), hyperbilirubinemia (12.2%, 9.5%, 6.4%, 4.8%, 4.1% at 37, 38, 39, 40 and =?41 week, p?
CONCLUSIONS
Elective cesarean section at =?39 weeks gestation would significantly reduce neonatal complications.