作者
Alan TN Tita, Mark B Landon, Catherine Y Spong, Yinglei Lai, Kenneth J Leveno, Michael W Varner, Atef H Moawad, Steve N Caritis, Paul J Meis, Ronald J Wapner, Yoram Sorokin, Menachem Miodovnik, Marshall Carpenter, Alan M Peaceman, Mary J O'Sullivan, Baha M Sibai, Oded Langer, John M Thorp, Susan M Ramin, Brian M Mercer
发表日期
2009/1/8
期刊
New England Journal of Medicine
卷号
360
期号
2
页码范围
111-120
出版商
Massachusetts Medical Society
简介
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.
Methods
We studied a cohort of consecutive patients undergoing repeat cesarean sections performed at 19 centers of the Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network from 1999 through 2002. Women with viable singleton pregnancies delivered electively (i.e., before the onset of labor and without any recognized indications for delivery before 39 weeks of gestation) were included. The primary outcome was the composite of neonatal death and any of several adverse events, including …
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ATN Tita, MB Landon, CY Spong, Y Lai, KJ Leveno… - New England Journal of Medicine, 2009