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Maternal and Child Health Journal

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01.07.2012

Elective Delivery Before 39 Weeks: The Risk of Infant Admission to the Neonatal Intensive Care Unit

verfasst von: Claire A. Hoffmire, Patricia R. Chess, Taha Ben Saad, J. Christopher Glantz

Erschienen in: Maternal and Child Health Journal | Ausgabe 5/2012

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Abstract

Despite American College of Obstetricians and Gynecologists guidelines suggesting that non-urgent planned deliveries be scheduled at/after 39 weeks; elective delivery before 39 weeks occurs often in the United States. The objective of this study is to estimate the elective delivery rate between 36^0/7 and 38^6/7 weeks gestation and compare NICU admission rates between elective and non-elective deliveries. We conducted a retrospective cohort (n = 1,577) study. Charts were reviewed for all singleton deliveries (2006–2007) between 36^0/7 and 38^6/7 weeks gestation taking place at one hospital in NYS to determine delivery status. We computed adjusted relative risks (RR) with 95% confidence intervals (CI) for elective delivery in relation to NICU admission using robust Poisson regression. 32.8% of all births were elective: 20.7% of vaginal and 55.7% of cesarean births. Elective delivery increased with increasing gestational age. After controlling for potential confounders, infants born via a vaginal elective delivery (RR = 1.40, CI: 1.00, 1.94), an elective cesarean (RR = 2.05, CI: 1.53, 2.76), or a non-elective cesarean (RR = 2.00, CI: 1.50, 2.66) are at significantly increased risk of NICU admission compared to infants born via a non-elective vaginal delivery. Elective delivery before 39 weeks is common and increases the risk of infant NICU admission.

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Titel: Elective Delivery Before 39 Weeks: The Risk of Infant Admission to the Neonatal Intensive Care Unit
verfasst von: Claire A. Hoffmire
Patricia R. Chess
Taha Ben Saad
J. Christopher Glantz
Publikationsdatum: 01.07.2012
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe 5/2012
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-011-0830-9

Springer Medizin

Abstract

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