Comparison of neonatal outcome of elective cesarean section done at 37–38 weeks of gestation and at 39-40 weeks of gestation

Musharaf Jahan; Farrukh Naheed; Nazish Ali; Nikhat Ahsan; Naila Qamar; Farheen Shiekh

doi:10.53730/ijhs.v6nS10.14087

Authors

Musharaf Jahan
drmusharaf@baqai.edu.pk
Baqai Medical University/ Fatima Hospital, Karachi Pakistan
Farrukh Naheed Baqai Medical University/ Fatima Hospital, Karachi Pakistan
Nazish Ali Baqai Medical University/ Fatima Hospital, Karachi Pakistan
Nikhat Ahsan Baqai Medical University/ Fatima Hospital, Karachi Pakistan
Naila Qamar Baqai medical university Fatima Hospital, Karachi Pakistan
Farheen Shiekh Baqai Medical University/ Fatima Hospital, Karachi Pakistan

Keywords:

neonatal outcome, transient tachypnea of newborn, respiratory distress syndrome, repeat C-section, Ion-Selective Electrode, ceasarean section

Abstract

Objective: The study aimed to compare the CS between 37 and 38 weeks gestational weeks and those performed between 39-40 weeks gestational weeks in order to determine the neonatal outcome and complications. Study design: comparative cross-sectional. Place and Duration of study: The study was conducted on 200 pregnant women in the Department of Obstetrics and Gynecology, Baqai Medical University, Fatima Hospital, Gadap Karachi from January 2021 to December 2022. Methodology: Women with term singleton pregnancies scheduled for elective cesarean section at 37 - 38 weeks and 39-40 weeks of gestation without medical comorbidities were enrolled.. All the patients were distributed into two groups: Group-A composed of pregnant women with gestational age 37-38 weeks and Group-B pregnant women with gestational age of 39-40 weeks. Data such as maternal age, gestational age, parity, and neonatal complication neonatal weight were collected. Transient tachypnea of the newborn (TTN), sepsis, NICU admission, respiratory distress syndrome (RDS), and neonatal outcomes were noted. Repeat C-Section, malpresentation, Cephalopelvic Disproportionation (CPD), maternal request were different causes for elective cesarean section. Data was collected from those patients who were admitted in ward for elective cesarean section through a pre designed proforma. Data analysis was done in SPSS version 27.

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References

Togoobatar Ganchimeg, Chie Nagota, Joshova P. Vogel, Naho Morisaki, Cynthia Pileggi – Castro etc.. Optimal timing of delivery among low-risk women with prior cesarean sections: A secondary analysis of the WHO Multi-country survey on maternal and newborn Health. February 2016 PLOS ONE 11 (2): e0149091, DOI: 10:137 | Journal Pom 0149091

Betran AP., Ye J., Moller AB., Zhang J., Gulmezoghu AM., Torloni MR. The increasing trend in cesarean section rates: Global, regional and national estimates 1990-2014. PLOS ONE 2016; 11 (2): e0148343

Aaisha Amjad, Abeeha Imran, Florian Fischer Trends of cesarean section deliveries in Pakistan: Secondary data analysis from demographic and Health Surveys, 1990 – 2018

Mamatha Shivanagappa, Vinutha K., Veerabhadrappa Deepthi, Thandaveshwar, Madhumitha Mahesh Elective cesarean section and neonatal outcome: an observational study from a tertiary hospital in Maysore, Karnataka, India Int. J. Repord Contracept Obstet Gynaecol 2019 Jan 8 (1): 14-18.

Pirjani R, Afrakhteh M, Sepidarkish M, Nariman S, Shirazi M, Moini A, Hosseini L. ‘Elective caesarean section at 38–39 weeks gestation compared to> 39 weeks on neonatal outcomes: a prospective cohort study. BMC pregnancy and childbirth. 2018 Dec;18(1):1-5.

Shams S, Naseeb S, Ali BB. Comparison of Neonatal Outcomes at Different Timing of Repeat Elective Caesarean Delivery. J Soc Obstet Gynaecol Pak. 2021; 11(2):61-65.

Betrán AP, Ye J, Moller AB, Zhang J, Gülmezoglu AM, Torloni MR. The increasing trend in caesarean section rates: global, regional and national estimates: 1990-2014. PloS one. 2016;11(2):e0148343.

Dileep A, Khan NB, Sheikh SS. Comparing neonatal respiratory morbidity in neonates delivered at term by elective Caesarean section with and without dexamethasone: retrospective cohort study. Jr Pak med Associ. 2015;65(6):607.

Jenabi E, Khazaei S, Bashirian S, Aghababaei S, Matinnia N. Reasons for elective cesarean section on maternal request: a systematic review. The Journal of Maternal-Fetal & Neonatal Medicine. 2020 Nov 16;33(22):3867-72.

Ko HS, Jang YR, Yun H, Wie J, Choi SK, Park IY, Shin JC. Late-preterm infants, early-term infants, and timing of elective deliveries; current status in a Korean medical center. The Journal of Maternal-Fetal & Neonatal Medicine. 2019;32(8):1267-74.

Prediger B, Heu-Parvaresch A, Polus S, Bühn S, Neugebauer EA, Dawid P. A systematic review on the effectiveness of implementation strategies to postpone elective caesarean sections to≥ 39+(0–6) weeks of gestation. Systematic reviews. 2021;10(1):1-5.9

Vidic Z, Blickstein I, Štucin Gantar I, Verdenik I, Tul N. Timing of elective cesarean section and neonatal morbidity: a population-based study. The Journal of Maternal-Fetal & Neonatal Medicine. 2016 ;29(15):2460-2.

National Institute for Health and Care Excellence. Cesarean Section guidelines

[NG 192] 31 March 2021.

Chang, YS, Ishida T, Ushioda N, Ushioda M, Nakai Y, Nakamura T & Shimoya, K. Timing of elective Caesarean delivery at term and neonatal respiratory outcomes. Modern Trends in Obstetrics & Gynecology. Japan Society of Obstetrics and Gynecology Chugoku.2019;58: 157-159.

Vollmer B, Stålnacke J. Young adult motor, sensory, and cognitive outcomes and longitudinal development after very and extremely preterm birth. Neuropediatrics. 2019 ;50(04):219-27.

Butt K, Lim K, Bly S, Cargill Y, Davies G, Denis N, Hazlitt G, Morin L, Ouellet A, Salem S. Determination of gestational age by ultrasound. Journal of Obstetrics and Gynecology Canada. 2014;36(2):171-81.

Butt K, Lim KI. Guideline no. 388-determination of gestational age by ultrasound. Journal of Obstetrics and Gynecology Canada. 2019;41(10):1497-507.

Ramadan MK, Kassem S, Itani S, Sinno L, Hussein S, Chahin R, Badr DA. Incidence and risk factors of uterine scar dehiscence identified at elective repeat cesarean delivery: a case-control study. Journal of Clinical Gynecology and Obstetrics. 2018;7(2):37-42.

Phaloprakarn C, Tangjitgamol S, Manusirivithaya S. Timing of elective cesarean delivery at term and its impact on maternal and neonatal outcomes among Thai and other Southeast Asian pregnant women. J Obstet Gynaecol Res. 2016;42(8):936–43.

Glavind J, Uldbjerg N. Elective cesarean delivery at 38 and 39 weeks: neonatal and maternal risks. Curr Opin Obstet Gynecol. 2015;27(2):121–7.

Doan E, Gibbons K, Tudehope D. The timing of elective caesarean deliveries and early neonatal outcomes in singleton infants born 37–41 weeks' gestation. Aust N Z J Obstet Gynaecol. 2014;54(4):340–7.

Huang K, Yan S, Wu X, Zhu P, Tao F. Elective caesarean section on maternal request prior to 39 gestational weeks and childhood psychopathology: a birth cohort study in China. BMC psychiatry. 2019 Dec;19(1):1-1.

de Vries BS, McGeechan K, Barratt A, Tooher J, Wong E, Phipps H, Gordon A, Hyett JA. The association between induction of labour at 38 to 39 weeks pregnancy and indication for caesarean delivery: An observational study. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2019 Dec;59(6):791-8.

Vogel JP, Betrán AP, Vindevoghel N, Souza JP, Torloni MR, Zhang J, et al. Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. Lancet Glob Health. 2015;3(5):e260–70.

Curran EA, Cryan JF, Kenny LC, Dinan TG, Kearney PM, Khashan AS. Obstetrical mode of delivery and childhood behavior and psychological development in a British cohort. J Autism Dev Disord. 2016;46(2):603–14.

Phaloprakarn C, Tangjitgamol S, Manusirivithaya S. Timing of elective cesarean delivery at term and its impact on maternal and neonatal outcomes among Thai and other southeast Asian pregnant women. J Obstet Gynaecol Res. 2016;42(8):936–43.

Kotecha SJ, Gallacher DJ, Kotecha S. The respiratory consequences of early-term birth and delivery by caesarean sections. Paediatr Respir Rev. 2016;19:49–55.

Yu Y, Zhang X, Sun C, Zhou H, Zhang Q, Chen C. Reducing the rate of cesarean delivery on maternal request through institutional and policy interventions in Wenzhou China. PLoS One. 2017;12(11):e0186304.