Timing and consequences of early term and late term deliveries.
Timing and consequences of early term and late term deliveries.
Available online through MWHC library: 2013 to the present
CONCLUSIONS: We observed a shift toward later gestational age at elective delivery from 2008 to 2011 and increased NICU utilization for neonates born at <39 weeks' gestation. METHODS: Analysis included 42,290 women with singleton gestation enrolled in a pregnancy education program, reporting uncomplicated pregnancies with elective labor induction (ELI) (n=27,677) or scheduled cesarean delivery (SCD) (n=14,613) at 37.0-41.9 weeks' gestation. Data were grouped by type and week of delivery (37.0-37.9, 38.0-38.9, and 39.0-41.9 weeks). ELI and SCD for each week of delivery from 2008 to 2011 and nursery utilization by delivery week were compared. OBJECTIVE: To examine the timing of elective delivery and neonatal intensive care unit (NICU) utilization of electively delivered infants from 2008 to 2011. RESULTS: During the 2008-2011 timeframe, a shift in timing of ELI and SCD toward >39.0 weeks was observed. In 2008, 80.9% of ELI occurred at >39.0 weeks versus 92.6% in 2011 (p<0.001). In 2008, 60.5% of SCD occurred at >39.0 weeks versus 78.1% in 2011 (p<0.001). NICU admission and prolonged nursery stays were highest at 37.0-37.9 weeks for both groups.
English
1476-4954
*Delivery, Obstetric/ae [Adverse Effects]
*Delivery, Obstetric/mt [Methods]
*Pregnancy Outcome/ep [Epidemiology]
*Premature Birth/ep [Epidemiology]
*Term Birth
Adult
Cesarean Section/ae [Adverse Effects]
Cesarean Section/sn [Statistics & Numerical Data]
Delivery, Obstetric/sn [Statistics & Numerical Data]
Elective Surgical Procedures/ae [Adverse Effects]
Elective Surgical Procedures/sn [Statistics & Numerical Data]
Female
Gestational Age
Hospitalization/sn [Statistics & Numerical Data]
Humans
Infant, Newborn
Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
Labor, Induced/ae [Adverse Effects]
Labor, Induced/sn [Statistics & Numerical Data]
Pregnancy
Retrospective Studies
Time Factors
Young Adult
MedStar Washington Hospital Center
Obstetrics and Gynecology/Maternal-Fetal Medicine
Journal Article
Available online through MWHC library: 2013 to the present
CONCLUSIONS: We observed a shift toward later gestational age at elective delivery from 2008 to 2011 and increased NICU utilization for neonates born at <39 weeks' gestation. METHODS: Analysis included 42,290 women with singleton gestation enrolled in a pregnancy education program, reporting uncomplicated pregnancies with elective labor induction (ELI) (n=27,677) or scheduled cesarean delivery (SCD) (n=14,613) at 37.0-41.9 weeks' gestation. Data were grouped by type and week of delivery (37.0-37.9, 38.0-38.9, and 39.0-41.9 weeks). ELI and SCD for each week of delivery from 2008 to 2011 and nursery utilization by delivery week were compared. OBJECTIVE: To examine the timing of elective delivery and neonatal intensive care unit (NICU) utilization of electively delivered infants from 2008 to 2011. RESULTS: During the 2008-2011 timeframe, a shift in timing of ELI and SCD toward >39.0 weeks was observed. In 2008, 80.9% of ELI occurred at >39.0 weeks versus 92.6% in 2011 (p<0.001). In 2008, 60.5% of SCD occurred at >39.0 weeks versus 78.1% in 2011 (p<0.001). NICU admission and prolonged nursery stays were highest at 37.0-37.9 weeks for both groups.
English
1476-4954
*Delivery, Obstetric/ae [Adverse Effects]
*Delivery, Obstetric/mt [Methods]
*Pregnancy Outcome/ep [Epidemiology]
*Premature Birth/ep [Epidemiology]
*Term Birth
Adult
Cesarean Section/ae [Adverse Effects]
Cesarean Section/sn [Statistics & Numerical Data]
Delivery, Obstetric/sn [Statistics & Numerical Data]
Elective Surgical Procedures/ae [Adverse Effects]
Elective Surgical Procedures/sn [Statistics & Numerical Data]
Female
Gestational Age
Hospitalization/sn [Statistics & Numerical Data]
Humans
Infant, Newborn
Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
Labor, Induced/ae [Adverse Effects]
Labor, Induced/sn [Statistics & Numerical Data]
Pregnancy
Retrospective Studies
Time Factors
Young Adult
MedStar Washington Hospital Center
Obstetrics and Gynecology/Maternal-Fetal Medicine
Journal Article