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https://www.acog.org/About-ACOG/ACOG-Departments/Deliveries-Before-39-Weeks/ACOG-Clinical-Guidelines?p=1
The American College of Obstetricians and Gynecologists has the following clinical guidelines related to deliveries before 39 weeks: Definition of term pregnancy. Committee Opinion No. 579.
https://www.mdedge.com/obgyn/article/195479/obstetrics/acog-avoid-inductions-39-weeks-unless-medically-necessary
Mar 02, 2019 · Babies should not be delivered before 39 0/7 weeks’ gestation by means besides spontaneous vaginal delivery, in the absence of medical indications for an earlier delivery.
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2019/02/Avoidance%20of%20Nonmedically%20Indicated%20Early-Term%20Deliveries%20and%20Associated%20Neonatal%20Morbidities
Nonmedically indicated early delivery before 39 weeks of gestation and induction of labor or cervical ripening before 39 weeks of gestation should be avoided, given short-term and long-term adverse outcomes for the neonate.
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2019/02/Medically%20Indicated%20Late-Preterm%20and%20Early-Term%20Deliveries
Additionally, recommendations for timing of delivery before 39 weeks of gestation are dependent on an accurate determination of gestational age. Amniocentesis for the determination of fetal lung maturity should not be used to guide the timing of delivery, even in suboptimally dated pregnancies 5 .
https://manual.jointcommission.org/releases/TJC2019A/MIF0166.html
Description: Patients with elective vaginal deliveries or elective cesarean births at >= 37 and < 39 weeks of gestation completed Rationale: For almost 3 decades, the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) have had in place a standard requiring 39 completed weeks gestation prior to ELECTIVE delivery, either vaginal or operative (ACOG…
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2017/03/Management%20of%20Suboptimally%20Dated%20Pregnancies
Contemporary efforts to curb elective deliveries before 39 weeks of gestation are intended to reduce risks of neonatal respiratory and nonrespiratory morbidities that are more frequently associated with early-term birth 1 2 3. Implicit in strategies to reduce nonmedically indicated early deliveries is a best clinical estimate of gestational age 4 5. This document provides guidance for managing pregnancies …
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2019/01/Cesarean%20Delivery%20on%20Maternal%20Request
In the absence of other indications for early delivery, cesarean delivery on maternal request should not be performed before a gestational age of 39 weeks.
https://www.acog.org/en/Clinical%20Information/Physician%20FAQs/COVID%2019%20FAQs%20for%20Ob%20Gyns%20Obstetrics
In the event that an individual should request a cesarean delivery because of COVID-19 concerns, obstetrician–gynecologists and other obstetric care clinicians should follow ACOG’s guidance provided in Committee Opinion 761, Cesarean Delivery on Maternal Request.
https://annualmeeting.acog.org/news/support-for-elective-iol-at-39-weeks-growing/
He said the major risk factor would be failed induction leading to cesarean. There’s limited data for routine IOL at 39 weeks, but Dr. Norwitz extrapolated data from IOL vs. expectant management (EM) at 41 weeks that showed no increase in cesarean delivery, and possibly a decrease.
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2013/11/Definition%20of%20Term%20Pregnancy
Gestation in singleton pregnancies lasts an average of 40 weeks (280 days) from the first day of the last menstrual period to the estimated date of delivery. In the past, the period from 3 weeks before until 2 weeks after the estimated date of delivery was considered “term” 1 , with the expectation that neonatal outcomes from deliveries in this interval were uniform and good.
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