Timing and consequences of early term and late term deliveries.

MedStar author(s):
Citation: Journal of Maternal-Fetal & Neonatal Medicine. 27(11):1158-62, 2014 Jul.PMID: 24134662Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Maternal-Fetal MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *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 AdultLocal holdings: Available online through MWHC library: 2013 to the presentISSN:
  • 1476-4954
Name of journal: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal ObstetriciansAbstract: 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.All authors: Driggers RW, Istwan NB, Parikh L, Rhea DJ, Singh J, Timofeev J, Zahn CMDigital Object Identifier: Date added to catalog: 2015-04-29
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article Available 24134662

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.

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