Association between timing of elective cesarean delivery and adverse outcomes among women with at least two previous cesareans.
- Publisher:
- Wiley
- Publication Type:
- Journal Article
- Citation:
- International Journal of Gynecology and Obstetrics, 2017, 137, (1), pp. 51-56
- Issue Date:
- 2017-04
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Intl J Gynecology Obste - 2016 - Hamadneh - Association between timing of elective cesarean delivery and adverse outcomes.pdf | 571.61 kB | Adobe PDF |
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Hamadneh, J | |
dc.contributor.author | Alchalabi, H | |
dc.contributor.author | Hamadneh, S | |
dc.contributor.author | Amarin, Z | |
dc.contributor.author | Khader, YS | |
dc.contributor.author |
Kassab, M |
|
dc.contributor.author | Bani-Hani, M | |
dc.date.accessioned | 2022-09-20T06:14:43Z | |
dc.date.available | 2016-12-20 | |
dc.date.available | 2022-09-20T06:14:43Z | |
dc.date.issued | 2017-04 | |
dc.identifier.citation | International Journal of Gynecology and Obstetrics, 2017, 137, (1), pp. 51-56 | |
dc.identifier.issn | 0020-7292 | |
dc.identifier.issn | 1879-3479 | |
dc.identifier.uri | http://hdl.handle.net/10453/161917 | |
dc.description.abstract | OBJECTIVE: To assess the impact of delivery at 37 weeks of pregnancy versus 38 weeks or later on maternal and neonatal outcomes among women with multiple previous cesareans. METHODS: In a retrospective study, data were assessed from women with at least two previous cesareans who delivered by cesarean at 37 weeks of pregnancy or later at a tertiary referral hospital in Jordan between January 2013 and November 2015. RESULTS: Among 886 eligible women, 505 (57.0%) delivered at 37 weeks (group 1) and 381 (43.0%) delivered at 38 weeks or later (group 2). There was no difference in intraoperative or postoperative complications between the two groups. In multivariate analysis, women in group 2 had lower odds of delivering neonates with respiratory distress syndrome than did those in group 1 (adjusted odds ratio 0.3, 95% confidence interval 0.2-0.5; P=0.046). However, neonatal jaundice was more common in group 2 (adjusted odds ratio 2.1, 95% confidence interval 1.7-2.7; P=0.035). CONCLUSION: Among women with multiple cesareans, delivery at 37 weeks was associated with increased risk of neonatal respiratory morbidity and decreased risk of neonatal jaundice, but not with a reduction in maternal complications, as compared with delivery at 38 weeks or later. | |
dc.format | Print-Electronic | |
dc.language | eng | |
dc.publisher | Wiley | |
dc.relation.ispartof | International Journal of Gynecology and Obstetrics | |
dc.relation.isbasedon | 10.1002/ijgo.12089 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | 1114 Paediatrics and Reproductive Medicine | |
dc.subject.classification | Obstetrics & Reproductive Medicine | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Cesarean Section, Repeat | |
dc.subject.mesh | Elective Surgical Procedures | |
dc.subject.mesh | Female | |
dc.subject.mesh | Gestational Age | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Infant, Newborn | |
dc.subject.mesh | Jordan | |
dc.subject.mesh | Odds Ratio | |
dc.subject.mesh | Postoperative Complications | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Pregnancy Outcome | |
dc.subject.mesh | Retrospective Studies | |
dc.subject.mesh | Tertiary Care Centers | |
dc.subject.mesh | Time Factors | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Cesarean Section, Repeat | |
dc.subject.mesh | Elective Surgical Procedures | |
dc.subject.mesh | Female | |
dc.subject.mesh | Gestational Age | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Infant, Newborn | |
dc.subject.mesh | Jordan | |
dc.subject.mesh | Odds Ratio | |
dc.subject.mesh | Postoperative Complications | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Pregnancy Outcome | |
dc.subject.mesh | Retrospective Studies | |
dc.subject.mesh | Tertiary Care Centers | |
dc.subject.mesh | Time Factors | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Postoperative Complications | |
dc.subject.mesh | Pregnancy Outcome | |
dc.subject.mesh | Cesarean Section, Repeat | |
dc.subject.mesh | Odds Ratio | |
dc.subject.mesh | Retrospective Studies | |
dc.subject.mesh | Gestational Age | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Time Factors | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Infant, Newborn | |
dc.subject.mesh | Jordan | |
dc.subject.mesh | Female | |
dc.subject.mesh | Tertiary Care Centers | |
dc.subject.mesh | Elective Surgical Procedures | |
dc.title | Association between timing of elective cesarean delivery and adverse outcomes among women with at least two previous cesareans. | |
dc.type | Journal Article | |
utslib.citation.volume | 137 | |
utslib.location.activity | United States | |
utslib.for | 1114 Paediatrics and Reproductive Medicine | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
utslib.copyright.status | closed_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2022-09-20T06:14:42Z | |
pubs.issue | 1 | |
pubs.publication-status | Published | |
pubs.volume | 137 | |
utslib.citation.issue | 1 |
Abstract:
OBJECTIVE: To assess the impact of delivery at 37 weeks of pregnancy versus 38 weeks or later on maternal and neonatal outcomes among women with multiple previous cesareans. METHODS: In a retrospective study, data were assessed from women with at least two previous cesareans who delivered by cesarean at 37 weeks of pregnancy or later at a tertiary referral hospital in Jordan between January 2013 and November 2015. RESULTS: Among 886 eligible women, 505 (57.0%) delivered at 37 weeks (group 1) and 381 (43.0%) delivered at 38 weeks or later (group 2). There was no difference in intraoperative or postoperative complications between the two groups. In multivariate analysis, women in group 2 had lower odds of delivering neonates with respiratory distress syndrome than did those in group 1 (adjusted odds ratio 0.3, 95% confidence interval 0.2-0.5; P=0.046). However, neonatal jaundice was more common in group 2 (adjusted odds ratio 2.1, 95% confidence interval 1.7-2.7; P=0.035). CONCLUSION: Among women with multiple cesareans, delivery at 37 weeks was associated with increased risk of neonatal respiratory morbidity and decreased risk of neonatal jaundice, but not with a reduction in maternal complications, as compared with delivery at 38 weeks or later.
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