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https://www.nejm.org/doi/full/10.1056/NEJMoa0803267
Because of increased rates of respiratory complications, elective cesarean delivery is discouraged before 39 weeks of gestation unless there is evidence of fetal lung maturity. We assessed associations between elective cesarean delivery at term (37 weeks of gestation or longer) but before 39 weeks of gestation and neonatal outcomes.Author: Alan T N Tita, Mark B. Landon, Catherine Y. Spong, Yinglei Lai, Kenneth J. Leveno, Michael W. Varner...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4497542/
Of these births, 1.34 million of these deliveries were accomplished through cesarean delivery. 1 Given that almost one third of pregnancies are completed by cesarean delivery, the optimal timing for repeat elective cesarean delivery is an important decision in improving neonatal outcome and controlling healthcare costs. Based upon this investigation, the delay of elective repeat cesarean section to 39 weeks completed gestational age was associated with significant cost savings in terms …Author: Christopher J. Robinson, Margaret S. Villers, Donna D. Johnson, Kit N. Simpson
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3127233/
Elective repeat cesarean delivery at 37 or 38 weeks is not associated with decreased maternal morbidity. Introduction Neonatal morbidity associated with elective cesarean delivery at term increases as gestational age at delivery decreases from 39 to 37 weeks [ 1 - 2 ].Author: Alan T N Tita, Yinglei Lai, Mark B. Landon, Catherine Y. Spong, Kenneth J. Leveno, Michael W. Varner...
https://journals.lww.com/greenjournal/Fulltext/2011/02000/Timing_of_Elective_Repeat_Cesarean_Delivery_at.12.aspx
Neonatal morbidity associated with elective cesarean delivery at term increases as gestational age at delivery decreases from 39 to 37 weeks. 1,2 Therefore, elective delivery before 39 weeks is discouraged unless fetal lung maturity has been confirmed. 3 Despite these recommendations we reported delivery before 39 weeks in over a third of prelabor elective repeat cesareans in a U.S. …
https://www.sciencedirect.com/science/article/pii/S0002937810003649
The cost savings associated with a delay of elective repeat cesarean delivery from 37 weeks or 38 weeks to 39 weeks of gestation are reported in Table 4 for each 100-infant hypothetical cohort. It is noted that there is a cost savings for delaying delivery by either 2 weeks (37-39 weeks…Author: Christopher J. Robinson, Margaret S. Villers, Donna D. Johnson, Kit N. Simpson
https://www.mdedge.com/obgyn/article/63517/what-optimal-timing-elective-cesarean-delivery-term
Elective cesarean delivery between 37 and 39 weeks’ gestation carried a greater risk of respiratory complications and other adverse outcomes than did delivery at 39 weeks Approximately 1.3 million cesarean deliveries are performed each year in the United States—40% of them repeat procedures.
https://www.ncbi.nlm.nih.gov/pubmed/19129525
Jan 08, 2009 · BACKGROUND: Because of increased rates of respiratory complications, elective cesarean delivery is discouraged before 39 weeks of gestation unless there is evidence of fetal lung maturity. We assessed associations between elective cesarean delivery at term (37 weeks of gestation or longer) but before 39 weeks of gestation and neonatal outcomes.Author: Alan T N Tita, Mark B. Landon, Catherine Y. Spong, Yinglei Lai, Kenneth J. Leveno, Michael W. Varner...
https://www.uptodate.com/contents/repeat-cesarean-delivery
Tita AT, Lai Y, Landon MB, et al. Timing of elective repeat cesarean delivery at term and maternal perioperative outcomes. Obstet Gynecol 2011; 117:280. Wilmink FA, Hukkelhoven CW, Lunshof S, et al. Neonatal outcome following elective cesarean section beyond 37 weeks of gestation: a 7-year retrospective analysis of a national registry.
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2019/02/Medically%20Indicated%20Late-Preterm%20and%20Early-Term%20Deliveries
Based on these and other data, timing of elective delivery at 39 weeks of gestation or later is recommended 3. However, there are a number of maternal, fetal, and placental complications in which either a late-preterm or early-term delivery is warranted.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3160133/
In a large study , over one third of elective (not medically indicated) cesarean deliveries at term occurred before 39 weeks of gestation, with neonates born before 39 weeks being at increased risk for significant complications compared to those born after 39 weeks. The March of Dimes, NICHD, Society for Maternal Fetal Medicine, and American College of Obstetricians and Gynecologists have since championed the …Author: Catherine Y. Spong, Brian M. Mercer, Mary D'Alton, Sarah Kilpatrick, Sean C Blackwell, George Saade
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