Maternal and Neonatal Outcome of Ceasarean Section at 38 Weeks Versus 39 Weeks of Gestational Age of Pregnancy

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 319

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شناسه ملی سند علمی:

COBGY15_267

تاریخ نمایه سازی: 11 آبان 1398

چکیده مقاله:

Backgrounds: As controversy exists regarding appropriate timing of elective C/S, the present study was designed to compare maternal and neonatal outcomes of cesarean section at 38 weeks versus 39 weeks of gestational age of pregnancy.Material and Method: We conducted a cross-sectional study being performed at Hafez and Zeinabieh Hospitals during a 12-months period from 2016 to 2017. Present study included 1000 pregnant women aged 18-40 years who had singleton pregnancies scheduled for either an elective or an emergency C/S at 38 and 39 weeks of gestation. The maternal and neonatal outcomes of cesarean section at 38 weeks versus 39 weeks of gestational age were compared overall and separately based on emergency and elective patients.Result: A total of 1000 mothers with singleton pregnancies who underwent C/S were included during the study period. A total of 646 (64.6%) participants (322 in 38-week group versus 324 in 39-week group) had an elective caesarean delivery and 354 (35.4%) participants (133 in 38-week group versus 221 in 39-week group) had an emergency caesarean. Overall, neonatal complications in the 38-week group were significantly more than those in the 39-week group [96 (21.09%) vs. 72 (13.21%); P=0.001]. The incidence of sepsis, hyperbilirubinemia, and hypoglycemia in neonates of the 38-week group were significantly higher compared to those in the 39-week group (P=0.001, P=0.03, P=0.03, respectively). Moreover, the number of maternal adverse events was significantly higher in the 39-week group 45 (8.2%) compared with the 38-week group 20 (4.4%) (P=0.01). However, when we separately compared elective and emergency maternal complications between the groups, statistical tests for trend were not significant.Conclusion: Overall, cesarean section at ≥ 39 weeks gestation would significantly reduce neonatal complications, and don’t have difference regarding maternal complications. Thereafter, performing elective cesarean section at 38 weeks could lead to slightly increased risk of neonatal and maternal complications

نویسندگان

Homeira Vafaei

Maternal-fetal medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Zinat Karimi

Maternal-fetal medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Nasrin Asadi

Maternal-fetal medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Maryam Kasraiean

Maternal-fetal medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran