Smartest Doc
Late better than yearly elective term C'section
Acta Pediatrica, 07/05/2012
Nir V et al. – Morbidity was higher among infants who were delivered at 37–38 gestational weeks by elective CS. These recommend postponing elective CSs to >39 weeks.
Methods- Data on all births in medical center during 2007-2009 were reviewed.
- Those on elective CSs for term infants were retrieved and divided into “early” (37-38 gestational weeks) or “late” (week 39 or later) groups whose epidemiological and outcome characteristics were compared.
- Of the 12,276 births, 596 were early and 454 were late elective CSs.
- There were no differences in gender, ethnicity, Apgar score, or length of hospital stay.
- Twenty-six infants from the early group and 11 infants from the late group were transferred to the neonatal intensive care unit. Within them, compared to all elective CSs, the morbidity rate was higher for the former infants than for the latter.
